Innovative Care Therapy Center
LBN: Innovative Outpatient Medical Systems
Innovative Care Therapy Center is an health care organization with primary practice located at 18425 West Creek Drive Suite G, Tinley Park IL 60477-6767. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty.
Innovative Outpatient Medical Systems can be contacted via phone (708) 532-1337, or through Dejong, Philip via phone (708) 532-1337.
Contact Information
Primary practice address
18425 West Creek Drive Suite G
Tinley Park IL 60477-6767
Phone: (708) 532-1337
Fax: (708) 532-1899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X |
Profile Details
| NPI number | 1487747556 |
|---|---|
| LBN Legal business name | Innovative Outpatient Medical Systems |
| DBA Doing business as | Innovative Care Therapy Center |
| Authorized official | Dejong, Philip |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487747556 | NPPES |
| Illinois | Other | 9932192 | BCBS |
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