National Provider Identifier Database

MIDWEST BRAIN INJURY CLUBHOUSE
Voluntary or Charitable


Contact Information

MIDWEST BRAIN INJURY CLUBHOUSE
1010 N HOOKER ST
#302
CHICAGO, IL60622-4549
Phone: 312-932-1120
Fax: 312-932-1140
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for MIDWEST BRAIN INJURY CLUBHOUSE

NPI Number 1275647315
Legal business name
LBN
MIDWEST BRAIN INJURY CLUBHOUSE
Authorized official DEBORAH GIESLER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/18/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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