Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elm City Rehabilitation Center, Inc

Organization Case Management Agency · NPI 1902934102

Elm City Rehabilitation Center, Inc is a Case Management Agency in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1314 W Walnut St
Jacksonville, IL 62650-1148
Phone: (217) 245-9504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X · Licence 0517 (IL)
Case Management Agency Taxonomy 251B00000X · Licence 04052 (IL)

Record details

NPI number1902934102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Frederick — President Ceo · (217) 245-9504
NPI enumeratedMarch 1, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1314 W Walnut St, Jacksonville, IL 62650-1148

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