Provider Demographics
NPI:1386736130
Name:CENTERS FOR HAND & PHYSICAL REHABILITATION, INC.
Entity type:Organization
Organization Name:CENTERS FOR HAND & PHYSICAL REHABILITATION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SZADORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-478-5890
Mailing Address - Street 1:11532 W 183RD ST
Mailing Address - Street 2:SUITE NW
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-9469
Mailing Address - Country:US
Mailing Address - Phone:708-478-5890
Mailing Address - Fax:708-478-4913
Practice Address - Street 1:11532 W 183RD ST
Practice Address - Street 2:SUITE NW
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9469
Practice Address - Country:US
Practice Address - Phone:708-478-5890
Practice Address - Fax:708-478-4913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
209170Medicare PIN