Organization
INNOVATIVE OUTPATIENT MEDICAL SYSTEMS
Active
Other names
Innovative Care Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP DEJONG (VICE PRESIDENT)
(708) 532-1337
Entity
Organization
Contact information
Practice address
18425 WEST CREEK DRIVE, SUITE G, TINLEY PARK, IL 60477-6767
(708) 532-1337
(708) 532-1899
Mailing address
18425 WEST CREEK DRIVE, SUITE G, TINLEY PARK, IL 60477-6767
(708) 532-1337
(708) 532-1899
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932192
BCBS
IL
Enumeration date
10/02/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us