Provider Demographics
NPI:1023006566
Name:SCHWAB REHABILITATION HOSPITAL AND CARE NETWORK
Entity Type:Organization
Organization Name:SCHWAB REHABILITATION HOSPITAL AND CARE NETWORK
Other - Org Name:SCHWAB REHABILITATION HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE VP AND CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUCK
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-257-6642
Mailing Address - Street 1:1401 S CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-1858
Mailing Address - Country:US
Mailing Address - Phone:773-522-2010
Mailing Address - Fax:773-257-2555
Practice Address - Street 1:3663 PAYSPHERE CIR
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60674-0036
Practice Address - Country:US
Practice Address - Phone:773-522-2010
Practice Address - Fax:773-257-2555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL40455283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL145966Medicaid
IL=========-001Medicaid
IL145966Medicaid
IL143025Medicare Oscar/Certification