Organization
MIDWEST BRAIN INJURY CLUBHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH GIESLER (EXECUTIVE DIRECTOR)
(312) 932-1120
Entity
Organization
Contact information
Practice address
1010 N HOOKER ST, #302, CHICAGO, IL 60622-4549
(312) 932-1120
(312) 932-1140
Mailing address
1010 N HOOKER ST, #302, CHICAGO, IL 60622-4549
(312) 932-1120
(312) 932-1140
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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