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WAUKEGAN MEDICAL AND REHABILITATION NPI 1396892352


NPI Information

NPI: 1396892352
Provider Name: WAUKEGAN MEDICAL AND REHABILITATION

Former Legal Business Name: WAUKEGAN MEDICAL CENTER

Classification: Chiropractor - 111NR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1720 GRAND AVE
WAUKEGAN, IL
ZIP 60085
Phone: (847) 625-0202
Get Directions

WAUKEGAN MEDICAL AND REHABILITATION is a rehabilitation chiropractor in Waukegan, IL. The provider is rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. WAUKEGAN MEDICAL AND REHABILITATION NPI is 1396892352. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Waukegan Medical Center.

The provider's business location address is:

1720 GRAND AVE
WAUKEGAN, IL
ZIP 60085-502
Phone: (847) 625-0202
Fax: (847) 625-0101

The provider's authorized official is Ivan Bracic .
The authorized official title is President-owner and has the following contact phone number (847) 625-0202.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 1/19/2016.


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
1225200000XPhysical Therapy Assistant160-004131ILLINOISNo
2111NR0400XChiropractorRehabilitation038007449ILLINOISYes

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
104932043OTHERILLINOISBLUE CROSS BLUE SHIELD

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

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