Organization
I. J. REHAB. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORILISE M WILLIS OTR (PRESIDENT)
(773) 521-5300
Entity
Organization
Contact information
Practice address
3004 S PULASKI RD, CHICAGO, IL 60623-4458
(773) 521-5300
(773) 521-5305
Mailing address
3004 S PULASKI RD, CHICAGO, IL 60623-4458
(773) 521-5300
(773) 521-5305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348683850001
—
IL
Enumeration date
07/01/2007
Last updated
08/22/2020
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