Organization
GENESIS REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGID MERKLE M.S. CCC/SLP (SPEECH-LANGUAGE PATHOLOGIST)
(708) 254-0030
Entity
Organization
Contact information
Practice address
3400 S INDIANA AVE, CHICAGO, IL 60616-3841
(312) 842-5000
Mailing address
3651 N PAULINA ST, APT. 2, CHICAGO, IL 60613-3623
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
146010426
IL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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