| NPI | 1487747556 |
|---|---|
| Doing Business As | INNOVATIVE CARE THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | PHILIP DEJONG Vice President 708-532-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |