Provider Demographics
NPI:1013922806
Name:QUALITY REHABILITATION, INC.
Entity Type:Organization
Organization Name:QUALITY REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARZENA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:INMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:773-794-4444
Mailing Address - Street 1:3401 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-4426
Mailing Address - Country:US
Mailing Address - Phone:773-794-4444
Mailing Address - Fax:773-824-4997
Practice Address - Street 1:3401 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-4426
Practice Address - Country:US
Practice Address - Phone:773-794-4444
Practice Address - Fax:773-824-4997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208422Medicare ID - Type UnspecifiedGROUP MEDICARE #