Organization
GENESIS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY DIANNE KITZINGER M.S. (SPEECH LANGUAGE PATHOLOGIST)
(317) 439-1411
Entity
Organization
Contact information
Practice address
1522 N. HALSTED, UNIT A, CHICAGO, IL 60642
(317) 439-1411
Mailing address
1522 N HALSTED ST, UNIT A, CHICAGO, IL 60642-2528
(317) 439-1411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Enumeration date
09/02/2011
Last updated
07/21/2022
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