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  • 145867
CCN: 145867 NPI: 1861488231 Organization

ALTA REHAB AT FAIRMONT

5061 N PULASKI RD
CHICAGO, IL 606302706

Contact Information

  • Phone 7736048112
  • Fax 7736048113
  • Enumeration Date 2005-09-21
  • Last Updated 2008-04-20

Taxonomies

  • Code: 314000000X (Primary) License State: IL License: 000040493

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 5
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 0.9803618747
censusDivision 5
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 0.9802564842
censusDivision 0
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 0.9802538758
censusDivision 0
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 0.980278308
censusDivision 0
cbsaActualGeographicLocation 16974
providerType 38
vbpAdjustment 0.9803449243
censusDivision 0
cbsaActualGeographicLocation 16974
providerType 38
vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 16984
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16984
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16974
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16974
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16974
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16974
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 16

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