SUMMIT REHABILITATION CENTER, PC (NPI# 1023247855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023247855 |
| Entity Type | Organization |
| Organization Name | SUMMIT REHABILITATION CENTER, PC |
| Practice Address |
915 Harger Rd Suite 101 Oak Brook IL 60523-1497 |
| Practice Telephone | 6309281430 |
| Practice Fax Number | 6309281424 |
| Mailing Telephone | 6309281430 |
| Mailing Fax Number | 6309281424 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | DR. FLORIAN MIRANZADEH (PRESIDENT) |
| Authorized Official Telephone | 6309281430 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Street Address |
915 HARGER RD SUITE 101 |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-1497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831121839 | Michelle Lynn Walters | Physical Therapist | 915 Harger Rd, Suite 101, Oak Brook, IL 60523-1497 | 2006-07-07 |
| 1962897918 | Julie Marie Ricciardi | Physical Therapist | 915 Harger Rd, Suite 102, Oak Brook, IL 60523-1497 | 2015-04-06 |
| 1538552112 | Rebecca L Biegel | Physical Therapist | 915 Harger Rd, Suite 102, Oak Brook, IL 60523-1497 | 2015-03-06 |
| 1396070264 | Mwalters Inc | Clinic/Center | 915 Harger Rd, Suite 101, Oak Brook, IL 60523-1497 | 2009-10-12 |
| 1255539508 | Summit Home Health LLC | Home Health | 915 Harger Rd, #102, Oak Brook, IL 60523-1400 | 2007-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811537178 | O.t. To You Pediatric Therapy Services, LLC | Clinic/Center | 9430 Harding Ave, Evanston, IL 60203-1323 | 2020-01-14 |
| 1154871127 | Concentra | Clinic/Center | 7421 South Cass Avenue, Darien, IL 60561-3607 | 2016-10-13 |
| 1679927222 | Child Therapy and Rehabilitation LLC | Clinic/Center | 790 Fletcher Dr, Unit 101, Elgin, IL 60123-4755 | 2016-04-20 |
| 1356715684 | Indus Medicine Ltd | Clinic/Center | 739 Hoover Dr, Carol Stream, IL 60188-1590 | 2015-11-24 |
| 1598131393 | Functional Life Consulting, LLC | Clinic/Center | 813 Seward St, Unit 3s, Evanston, IL 60202-2882 | 2015-08-15 |
| 1427488899 | Let's Grow, Inc. | Clinic/Center | 1746 W 17th St Rear, Chicago, IL 60608 | 2013-11-20 |
| 1447592704 | Occupational Health Centers of Illinois PC | Clinic/Center | 7421 S Cass Ave, Darien, IL 60561-3607 | 2013-03-25 |
| 1518204650 | Healthworks Medical Group of Illinois S C | Clinic/Center | 11601 W Touhy Ave, O'hare International Airport- Terminal 2- Lower Level, Chicago, IL 60666-5047 | 2013-01-09 |
| 1427366921 | Healthworks Medical Group of Illinois S C | Clinic/Center | 5100 Lake Terrance Ne, Mount Vernon, IL 62864-9665 | 2010-09-17 |
| 1932426285 | Medworks Joliet Corp | Clinic/Center | 815 Campus Drive, Joliet, IL 60435 | 2010-04-27 |
| Find all providers with the same taxonomy | ||||
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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.