Organization
WORK HARDENING OF WEST LOOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO DIAZ (PRESIDENT)
(773) 878-7909
Entity
Organization
Contact information
Practice address
601 W RANDOLPH ST, CHICAGO, IL 60661-2232
(312) 798-7246
(312) 798-7247
Mailing address
5252 N WESTERN AVE, CHICAGO, IL 60625-2448
(773) 878-7909
(773) 878-4763
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
66437582
IL
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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