Provider Demographics
NPI:1124013974
Name:CRS REHABILITATION SPECIALISTS OF SKOKIE
Entity Type:Organization
Organization Name:CRS REHABILITATION SPECIALISTS OF SKOKIE
Other - Org Name:CRS REHABILITATION SPECIALISTS-SKOKIE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:K
Authorized Official - Last Name:DANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-531-0099
Mailing Address - Street 1:8950 GROSS POINT RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1860
Mailing Address - Country:US
Mailing Address - Phone:847-967-5100
Mailing Address - Fax:847-967-5180
Practice Address - Street 1:8950 GROSS POINT RD
Practice Address - Street 2:SUITE D
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1860
Practice Address - Country:US
Practice Address - Phone:847-967-5100
Practice Address - Fax:847-967-5180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL14-6658Medicare ID - Type Unspecified