| NPI | 1104042993 |
|---|---|
| Doing Business As | ICG REHAB |
| Entity Type | Organization |
| Authorized Contact | RHONDA S LUTHER COO 217-422-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-10-10 |