FAMILY PHYSICAL MEDICINE CORP (NPI# 1336450386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336450386 |
| Entity Type | Organization |
| Organization Name | FAMILY PHYSICAL MEDICINE CORP |
| Practice Address |
2182 Gladstone Ct Suite B Glendale Heights IL 60139-1517 |
| Mailing Address |
281 E Wrightwood Ave Glendale Heights IL 60139-2626 |
| Practice Telephone | 7089919002 |
| Practice Fax Number | 7089919003 |
| Mailing Telephone | 7089919002 |
| Mailing Fax Number | 7089919003 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | DR. KALLAHUR RAHAMAN (OWNER) |
| Authorized Official Telephone | 6308635707 |
| Authorized Official Credential | DN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172P00000X | Naprapath | 181000337 | IL | Other Service Providers |
| N | 225100000X | Physical Therapist | 070013531 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 208D00000X | General Practice | 036114338 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2182 GLADSTONE CT SUITE B |
| City | GLENDALE HEIGHTS |
| State | IL |
| Zip Code | 60139-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346551231 | Affinity Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 2182 Gladstone Ct, Suite C, Glendale Heights, IL 60139-1517 | 2010-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465909 | Jonathan Rieckmann | Home Health Aide | 1187 Harbor Court, Glendale Heights, IL 60139 | 2017-09-02 |
| 1265968333 | Alpha Omega Caregivers, Inc | Home Health | 292 Paddock Cir, Glendale Heights, IL 60139 | 2017-05-10 |
| 1508305327 | Elizabeth Antosz | Emergency Medical Technician, Basic | 2234 Lake Ridge Drive, Glendale Heights, IL 60139 | 2017-02-13 |
| 1700274412 | Ivelisse Torres | Interpreter | 1579 Floyd Brown Ln, Glendale Heights, IL 60139 | 2015-01-05 |
| 1659786069 | Polpain Interventional Pain Management Center Ltd. | Clinic/Center | 2090 Gladstone Dr., Unit B, Glendale Heights, IL 60139 | 2014-06-24 |
| 1699100156 | Katarzyna M Lazarczuk | Physical Therapist | 2190 Gledstone Drive, Unit B, Glendale Heights, IL 60139 | 2013-09-03 |
| 1063754232 | Dental Heights Dds PC | Dentist | 148 East Army Trail Road, Glendale Heights, IL 60139 | 2013-03-26 |
| 1306077466 | Sarah Elizabeth Del Gallo | Physical Therapy Assistant | 875 Roosevelt Road, Glen Ellyn, IL 60139 | 2009-08-06 |
| 1275796088 | Joseph P Nguyen | Pharmacist | 2164 Bloomingdale Road, Glendale Heights, IL 60139 | 2008-07-02 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| Find all providers in zip 60139 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775192 | Discover Integrated Medical Center, Ltd. | General Practice | 2207 N Us Highway 12 Ste E, Spring Grove, IL 60081-9706 | 2020-09-18 |
| 1154946903 | Wound Pros Illinois | General Practice | 5250 Old Orchard Rd., Suite 300, Skokie, IL 60077-4462 | 2020-06-08 |
| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
| City | GLENDALE HEIGHTS |
| Zip Code | 60139 |
Please comment or provide details below to improve the information on FAMILY PHYSICAL MEDICINE CORP.
| 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.