INNOVATIVE OUTPATIENT MEDICAL SYSTEMS (NPI# 1487747556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487747556 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE OUTPATIENT MEDICAL SYSTEMS |
| Other Organization Name | INNOVATIVE CARE THERAPY CENTER |
| Practice Address |
18425 West Creek Drive Suite G Tinley Park IL 60477-6767 |
| Practice Telephone | 7085321337 |
| Practice Fax Number | 7085321899 |
| Mailing Telephone | 7085321337 |
| Mailing Fax Number | 7085321899 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PHILIP DEJONG (VICE PRESIDENT) |
| Authorized Official Telephone | 7085321337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 9932192 | 01 |
| Other Name | Type Code |
|---|---|
| Innovative Care Therapy Center | Doing Business As Name - Organization |
| Street Address |
18425 WEST CREEK DRIVE SUITE G |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-6767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265527824 | Elaine L. Crettol | Speech-Language Pathologist | 18425 West Creek Drive, Tinley Park, IL 60477 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871030130 | Safer Foundation | Clinic/Center | 3210 W Arthington St, Chicago, IL 60624-4121 | 2017-01-25 |
| 1447438635 | Empathy Rehab LLC | Clinic/Center | 2353 Hassell Rd, Hoffman Estates, IL 60169-2170 | 2008-02-10 |
| 1669695227 | Center for Rehabilitation Technology Inc | Clinic/Center | 64 S Prairie St, 218 Weinberg Arcade, Galesburg, IL 61401-4642 | 2007-04-11 |
| 1891812327 | Comgraph Inc. | Clinic/Center | 252 Main Street, Park Forest, IL 60466 | 2007-03-22 |
| 1194898114 | Vital Rehabilitation & Physical Therapy Inc | Clinic/Center | 11600 S Kedzie, Merrionette Park, IL 60803 | 2006-11-16 |
| 1265521959 | Milestone Rehabilitation | Clinic/Center | 474 Parkwood Circle, South Elgin, IL 60177 | 2006-10-12 |
| 1104477736 | Alden of Waterford, L.L.C. | Clinic/Center | 2021 Randi Dr, Aurora, IL 60504-4758 | 2019-09-25 |
| 1053824896 | Safer Foundation | Clinic/Center | 2839 W Fillmore St, Chicago, IL 60612-4051 | 2017-11-15 |
| 1942750930 | Joyner Therapy Services | Clinic/Center | 2907 Williamson County Pkwy, Marion, IL 62959-5256 | 2016-10-13 |
| 1447615513 | Ctf Illinois | Clinic/Center | 19015 S Jodi Rd, Mokena, IL 60448-8514 | 2015-12-16 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on INNOVATIVE OUTPATIENT MEDICAL SYSTEMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.