Midwest Brain Injury Clubhouse

LBN: Midwest Brain Injury Clubhouse
Midwest Brain Injury Clubhouse is an health care organization with primary practice located at 1021 W Adams St. Suite 200, Chicago IL 60607-2936. The organization recently has 10 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Physical Therapy, Respite Care Facility / Respite Care. Agencies / Community/Behavioral Health is the primary health care specialty. Midwest Brain Injury Clubhouse can be contacted via phone (312) 226-8720, or through Bess, Tammiko via phone (312) 226-8714.

Contact Information

Primary practice address
1021 W Adams St. Suite 200 Chicago IL 60607-2936
Phone: (312) 226-8720
Fax: (312) 226-8722
Website:
Map and Directions
Authorized official contact:
Name: Bess, Tammiko
Phone: (312) 226-8714

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1669876033
LBN Legal business name Midwest Brain Injury Clubhouse
DBA Doing business as
Authorized official Bess, Tammiko
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2014
Last updated Dec 20th, 2023 - about 3 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.

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