Organization
THE ADULT AND CHILD REHAB CENTER FOR MCHENRY COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLEY J LARSON R.N. (EXECUTIVE DIRECTOR)
(815) 338-1707
Entity
Organization
Contact information
Practice address
708 WASHINGTON ST, WOODSTOCK, IL 60098-2265
(815) 338-1707
(815) 338-1786
Mailing address
708 WASHINGTON ST, WOODSTOCK, IL 60098-2265
(815) 338-1707
(815) 338-1786
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1747736
IL
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5014
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/26/2006
Last updated
04/20/2008
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