Organization
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Active
Parent organization
PRESENCE HOSPITALS - PRV
Other names
Presence St. Joseph Hospital-Elgin Rehab Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESENCE HOSPITALS - PRV
Authorized official
RICHARD DOUGLAS CARTER (AMITA CFO)
(224) 273-2350
Entity
Organization
Contact information
Practice address
77 N AIRLITE ST, ELGIN, IL 60123-4912
(847) 622-2086
(847) 669-7624
Mailing address
77 N AIRLITE ST, ELGIN, IL 60123-4912
(847) 622-2086
(847) 669-7624
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
0004887
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00055
BCBS IL INPATIENT REHAB
IL
Enumeration date
11/28/2006
Last updated
12/29/2021
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