INTERNATIONAL CONSULTING GROUP (NPI# 1740429836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740429836 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL CONSULTING GROUP |
| Other Organization Name | ICG ASSISTIVE TECHNOLOGY SERVICES |
| Practice Address |
1467 N Elston Ave Ste 103 Chicago IL 60642-2449 |
| Practice Telephone | 3129433600 |
| Practice Fax Number | 3129433096 |
| Mailing Telephone | 3129433600 |
| Mailing Fax Number | 3129433096 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | MS. IWONA KORZENIOWSKA (PRESIDENT) |
| Authorized Official Telephone | 3129433600 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
203000284 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 1630116 | 01 |
| IL | MEDICARE | 147715 | 01 |
| IL | 103034 | 05 |
| Other Name | Type Code |
|---|---|
| ICG ASSISTIVE TECHNOLOGY SERVICES | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INTERNATIONAL CONSULTING GROUP LLC | 252 Broadway Apt 712, Tacoma, WA 98402-4003 |
| Massachusetts Corporations | INTERNATIONAL CONSULTING GROUP LLC | 12 Girard Road, Winchester, MA 01890 |
| New York State Corporations | INTERNATIONAL CONSULTING GROUP, LLC | 23404 W Lyons Avenue, #223, Santa Clarita, Ca 913212668 |
| Street Address |
1467 N ELSTON AVE STE 103 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942346325 | International Consulting Group, Inc. | Registered Nurse | 1467 N Elston Ave Ste 103, Chicago, IL 60642-2449 | 2007-01-30 |
| 1730730888 | Kathryn Gallagher | Occupational Therapist | 1467 N Elston Ave Ste 103, Chicago, IL 60642-2449 | 2019-09-20 |
| 1770144784 | Matthew Boyd | Physical Therapy Assistant | 1467 N Elston Ave Ste 103, Chicago, IL 60642-2449 | 2019-06-21 |
| 1770142689 | Lauren Nicole Lowrie | Speech-Language Pathologist | 1467 N Elston Ave Ste 103, Chicago, IL 60642-2449 | 2019-06-13 |
| 1902464860 | Kali Kupkowski | Occupational Therapy Assistant | 1467 N Elston Ave Ste 103, Chicago, IL 60642-2449 | 2019-06-04 |
| 1174897144 | International Consulting Group, Inc | Home Health | 1467 N Elston Ave Ste 103, Chicago, IL 60642-2449 | 2012-03-08 |
| 1659496321 | Katarzyna Olbrycht | Specialist/Technologist | 1467 N Elston Ave Ste 103, Chicago, IL 60642-2449 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528509833 | International Medical Equipment Distributors LLC | Durable Medical Equipment & Medical Supplies | 8501 W Higgins Rd Ste 710, Chicago, IL 60631-2883 | 2017-03-20 |
| 1851785224 | Floss Dental Studio PC | Durable Medical Equipment & Medical Supplies | 924 N Damen Ave, Chicago, IL 60622-4948 | 2015-03-24 |
| 1972926012 | Mts Direct Inc | Durable Medical Equipment & Medical Supplies | 4734 S Prairie Ave Unit 1, Chicago, IL 60615-1206 | 2014-01-24 |
| 1659501500 | The Board of Trustees of The University of Illinois | Durable Medical Equipment & Medical Supplies | 811 S Paulina St, 118 Dent, Mc 588, Chicago, IL 60612-4353 | 2009-07-24 |
| 1053549402 | Crowning Glory Lace Wigs | Durable Medical Equipment & Medical Supplies | 8100 S Stony Island Ave, Unit F, Chicago, IL 60617-1734 | 2009-06-24 |
| 1124286927 | Footco Orthopedic | Durable Medical Equipment & Medical Supplies | 3723 N Southport Ave, Chicago, IL 60613-3718 | 2008-05-28 |
| 1528250669 | Premier Podiatry Services, Ltd | Durable Medical Equipment & Medical Supplies | 6374 N Lincoln Ave Ste 303, Chicago, IL 60659-1283 | 2007-08-13 |
| 1083769202 | Luna Medical Inc. | Durable Medical Equipment & Medical Supplies | 1057 W Grand Ave Ste 1, Chicago, IL 60642-6600 | 2007-01-25 |
| 1629146014 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 2240 W Walnut St, Chicago, IL 60612-2218 | 2006-12-01 |
| 1568417319 | Absolute Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1843 W Hubbard St, Suite 2a, Chicago, IL 60622-6236 | 2006-05-23 |
| Find all providers in CHICAGO | ||||
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| 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.