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 |