Provider Demographics
NPI:1609072719
Name:SELECTCARE HEALTH, INC.
Entity Type:Organization
Organization Name:SELECTCARE HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:AKASH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-489-5532
Mailing Address - Street 1:1560 SHERMAN AVE
Mailing Address - Street 2:SUITE #460
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4818
Mailing Address - Country:US
Mailing Address - Phone:847-859-1512
Mailing Address - Fax:
Practice Address - Street 1:1480 RENAISSANCE DR
Practice Address - Street 2:SUITE #304
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1332
Practice Address - Country:US
Practice Address - Phone:847-768-9240
Practice Address - Fax:847-768-9304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)