OrganizationActive
Bridging the Tys to Jordan Inc
NPI 1083884019 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Chicago, IL
Provider details
- NPI number
- 1083884019
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Authorized official
- Tyson Everett, Executive Director
Practice location
5500 S Indiana Ave Bsmt
Chicago, IL 60637-1011
Phone: (773) 425-8159
Fax: (773) 488-9462
Mailing address
5500 S Indiana Ave Bsmt
Chicago, IL 60637-1011
Registry dates
- Enumerated
- 2008-03-05
- Last updated
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.