Provider Demographics
NPI:1013372580
Name:SYMBRIA REHAB, INC.
Entity Type:Organization
Organization Name:SYMBRIA REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUEGER
Authorized Official - Suffix:
Authorized Official - Credentials:6304135810
Authorized Official - Phone:630-413-5810
Mailing Address - Street 1:28100 TORCH PKWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-3938
Mailing Address - Country:US
Mailing Address - Phone:630-413-5800
Mailing Address - Fax:630-413-5892
Practice Address - Street 1:161 NORTHFIELD RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3309
Practice Address - Country:US
Practice Address - Phone:630-413-5823
Practice Address - Fax:630-413-5892
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYMBRIA, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-28
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL5383261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation