Organization
KIRBY REHABILITATION, INC
Active
Other names
Kirby Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LEA KIRBY (PRESIDENT)
(773) 614-4002
Entity
Organization
Contact information
Practice address
723 W. 111TH ST, CHICAGO, IL 60628
(773) 614-4002
(773) 453-3262
Mailing address
723 W. 111TH ST, CHICAGO, IL 60628
(773) 614-4002
(773) 453-3262
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
CA8419-0001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA8419-0001
—
IL
Enumeration date
11/05/2015
Last updated
11/20/2025
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