SEDGEBROOK INC. NPI 1306910500

NPI Information

NPI: 1306910500
Provider Name: SEDGEBROOK INC.

Doing Business As: SEDGEBROOK OUTPATIENT REHABILITATION

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
840 AUDUBON WAY
LINCOLNSHIRE, IL
ZIP 60069
Phone: (847) 876-2336
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SEDGEBROOK INC. is a rehabilitation clinic center in Lincolnshire, IL. SEDGEBROOK INC. NPI is 1306910500. The provider is registered as an organization entity type.
The provider Is Doing Business As Sedgebrook Outpatient Rehabilitation.

The provider's business location address is:

840 AUDUBON WAY
LINCOLNSHIRE, IL
ZIP 60069-835
Phone: (847) 876-2336

The provider's authorized official is Ian Brown .
The authorized official title is Executive Director and has the following contact phone number (847) 876-2199.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	146719	MEDICARE OSCAR/CERTIFICATION	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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