ILLINOIS CENTER FOR REHABILITATION AND EDUCATION (NPI# 1467647883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467647883 |
| Entity Type | Organization |
| Organization Name | ILLINOIS CENTER FOR REHABILITATION AND EDUCATION |
| Practice Address |
1950 W Roosevelt Rd Chicago IL 60608-1245 |
| Mailing Address |
400 W Lawrence Ave Springfield IL 62704-2625 |
| Practice Telephone | 3124333110 |
| Practice Fax Number | 3124333180 |
| Mailing Telephone | 2175244089 |
| Mailing Fax Number | 2175242352 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Authorized Official Name | MRS. THERESE MANDERINO (SUPERINTENDENT) |
| Authorized Official Telephone | 3124333121 |
| Is Organization Subpart | Y |
| Parent Organization Name | ILLINOIS DEPARTMENT OF HUMAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 376002057003 | 05 |
| Street Address |
1950 W ROOSEVELT RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275374 | Gemillia Staple | Social Worker | 1950 W Roosevelt Rd, Chicago, IL 60608-1245 | 2017-06-22 |
| 1922242718 | Farrell Godbout | Nurse Practitioner | 1950 W Roosevelt Rd, Chicago, IL 60608-1245 | 2009-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603220 | Horizon Science Academy-belmont | Local Education Agency (LEA) | 2456 N Mango Ave, Chicago, IL 60639-2313 | 2020-03-04 |
| 1740815331 | Horizon Science Academy-mckinley Park | Local Education Agency (LEA) | 2245 W Pershing Rd, Chicago, IL 60609-2211 | 2020-03-04 |
| 1710538004 | Bronzeville Acadmey Charter School | Local Education Agency (LEA) | 4930 S Cottage Grove Ave, Chicago, IL 60615-2616 | 2019-09-27 |
| 1689223653 | Intrinsic Schools | Local Education Agency (LEA) | 79 W Monroe St Ste 400, Chicago, IL 60603-4903 | 2019-09-11 |
| 1992352645 | Amandla Charter School | Local Education Agency (LEA) | 6820 S Washtenaw Ave, Chicago, IL 60629-1826 | 2019-08-19 |
| 1497205744 | Betty Shabazz Interantional Charter School | Local Education Agency (LEA) | 7823 S Ellis Ave, Chicago, IL 60619-3213 | 2016-10-11 |
| 1386070589 | Ace Tech Charter Hs | Local Education Agency (LEA) | 5410 S State St, Chicago, IL 60609-6342 | 2013-09-19 |
| 1295077337 | Central Stickney Sd #110 | Local Education Agency (LEA) | 5001 Lane Ave., Chicago, IL 60638-1733 | 2013-03-26 |
| 1295061372 | Central Stickney School District #110 | Local Education Agency (LEA) | 5001 S Long Ave, Chicago, IL 60638-1733 | 2009-10-26 |
| 1083860845 | Alivio Medical Center, Inc. | Local Education Agency (LEA) | Alivio Medical Ctr, 75 Remittance Dr. Suite 6577, Chicago, IL 60675-6577 | 2008-08-13 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.