MIDWEST MEDICORP, SC (NPI# 1124112461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124112461 |
| Entity Type | Organization |
| Organization Name | MIDWEST MEDICORP, SC |
| Practice Address |
6524 W Archer Ave Chicago IL 60638-2400 |
| Practice Telephone | 7732299600 |
| Practice Fax Number | 7732299611 |
| Mailing Telephone | 7732299600 |
| Mailing Fax Number | 7732299611 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | DR. ALI RAFIE-SAFAIE (MANAGER) |
| Authorized Official Telephone | 7732299600 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | IL | Chiropractic Providers | |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016004709 | IL | Podiatric Medicine & Surgery Service Providers |
| Y | 208100000X | Physical Medicine & Rehabilitation | 036096853 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
6524 W ARCHER AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60638-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922067412 | Ali Rafie-safaie | Chiropractor | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2006-03-22 |
| 1215545249 | Lauren Wiske | Physical Therapist | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2020-07-15 |
| 1306383203 | Core Rehab, LLC | Chiropractor | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2017-01-30 |
| 1417208331 | Advanced Spine and Pain Specialists, S.c. | Chiropractor | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2012-10-02 |
| 1679713010 | Christopher A Fortier | Physical Therapist | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2009-02-25 |
| 1487892790 | Krzysztof Kluzowski | Physical Therapy Assistant | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2009-01-23 |
| 1962696427 | Melissa L Eckroat | Physical Therapist | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2007-08-28 |
| 1760684377 | Krishna C Chunduri | Anesthesiology | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2007-06-05 |
| 1841416880 | Phillip A. Gattas | Chiropractor | 6524 W Archer Ave, Chicago, IL 60638 | 2007-04-18 |
| 1629038864 | Mark Kaczmarski | Chiropractor | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
| 1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
| 1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
| 1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
| 1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
| 1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
| 1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
| 1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
| Find all providers in zip 60638 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569064 | Boss Povieng | Physical Medicine & Rehabilitation | 1620 W Harrison St Ste 403, Chicago, IL 60612-3801 | 2020-05-15 |
| 1205488590 | Michelle E Roberts | Physical Medicine & Rehabilitation | 225 S Sangamon St Ste 1, Chicago, IL 60607-5167 | 2019-07-16 |
| 1750849428 | Ovation Hand Institute, LLC | Physical Medicine & Rehabilitation | 737 N Michigan Ave Ste 2200, Chicago, IL 60611-6750 | 2019-03-12 |
| 1467921080 | John Nestle Eslofor Galan | Physical Medicine & Rehabilitation | 5752 N Austin Ave # 2n, Chicago, IL 60646-6231 | 2018-11-14 |
| 1437689809 | Lauren E Woo | Physical Medicine & Rehabilitation | 355 E Erie St Ste 21-2128, Chicago, IL 60611-3167 | 2017-06-18 |
| 1245761899 | Kevin Machino | Physical Medicine & Rehabilitation | 1401 S California Ave Ste 1, Chicago, IL 60608-1694 | 2017-03-24 |
| 1497102297 | Andrew J Patton | Physical Medicine & Rehabilitation | 1725 W Harrison St Ste 1018, Chicago, IL 60612-3835 | 2016-05-21 |
| 1437512886 | Kevin Huang | Physical Medicine & Rehabilitation | 345 E Superior St Ste 1600, Chicago, IL 60611-2654 | 2016-04-02 |
| 1497128524 | Sara R Rodriguez | Physical Medicine & Rehabilitation | 806 W Washington Blvd, Suite 203 B-d, Chicago, IL 60607-2338 | 2015-11-11 |
| 1275918112 | Avant -garde Medicne Sc | Physical Medicine & Rehabilitation | 215 W Washington St Apt 5006, Chicago, IL 60606-3543 | 2015-07-21 |
| 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.