Organization
INTERNATIONAL CONSULTING GROUP, INC.
Active
Other names
ICG Rehab Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IWONA KORZENIOWSKA PT (PRESIDENT)
(312) 943-3600
Entity
Organization
Contact information
Practice address
1467 N ELSTON AVE STE 103, CHICAGO, IL 60642-2449
(312) 943-3600
(312) 943-3096
Mailing address
1467 N ELSTON AVE STE 103, CHICAGO, IL 60642-2449
(312) 943-3600
(312) 943-3096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
171R00000X
Interpreter
1010149
IL
208000000X
Pediatrics Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
1010149
IL
251E00000X
Home Health Agency
1010149
IL
252Y00000X
Early Intervention Provider Agency
Primary
1010149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103034
—
IL
Enumeration date
01/30/2007
Last updated
04/18/2024
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