LEGACY PHYSIATRY GROUP ILLINOIS, LLC (NPI# 1467830349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467830349 |
| Entity Type | Organization |
| Organization Name | LEGACY PHYSIATRY GROUP ILLINOIS, LLC |
| Other Organization Name | LEGACY PHYSIATRY GROUP |
| Practice Address |
1603 Orrington Ave Ste 600 Evanston IL 60201-3841 |
| Mailing Address |
850 Central Pkwy E Suite 275 Plano TX 75074-5561 |
| Practice Telephone | 9723721663 |
| Practice Fax Number | 9723721657 |
| Mailing Telephone | 9723721663 |
| Mailing Fax Number | 9723721657 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | VIVEK SASTRY (PRESIDENT/CEO) |
| Authorized Official Telephone | 9723721663 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Legacy Physiatry Group | Doing Business As Name - Organization |
| Street Address |
1603 ORRINGTON AVE STE 600 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972701795 | Joan Lynch | Psychiatry & Neurology | 1603 Orrington Ave, Evanston, IL 60201-3841 | 2007-07-03 |
| 1942628383 | Peaklifemd, S.c. | Psychiatry & Neurology | 1603 Orrington Ave, Suite 600, Evanston, IL 60201-3841 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| 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 |
|---|---|---|---|---|
| 1699053405 | Edward John Mccarron | Physical Medicine & Rehabilitation | 9300 Hamlin Avenue, Evanston, IL 60203-1302 | 2011-07-27 |
| 1558831743 | Krystyna Pawelczyk | Physical Medicine & Rehabilitation | 820 Foster St, Evanston, IL 60201-3212 | 2018-11-29 |
| 1043765225 | Connie Hsu | Physical Medicine & Rehabilitation | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2016-08-17 |
| 1194038711 | Pedro Juan Gonzalez | Physical Medicine & Rehabilitation | 500 Asbury Ave, Evanston, IL 60202-2724 | 2010-07-24 |
| 1063673481 | Ranjeet Singh | Physical Medicine & Rehabilitation | 500 Asbury Ave, Evanston, IL 60202-2724 | 2008-06-18 |
| 1518132182 | Naila Mohsin Shaikh | Physical Medicine & Rehabilitation | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2008-04-24 |
| 1073537304 | Joseph L Feldman | Physical Medicine & Rehabilitation | 2650 Ridge Ave, Department of Phys Med Suite 2204, Evanston, IL 60201-1718 | 2006-07-27 |
| 1831116813 | Miledones N. Eliades | Physical Medicine & Rehabilitation | 2650 Ridge Ave, Department of Phys Med Suite 2204, Evanston, IL 60201-1718 | 2006-07-16 |
| 1649297524 | Justina Li Tanhehco | Physical Medicine & Rehabilitation | 2650 Ridge Ave, Department of Phys Med Suite 2204, Evanston, IL 60201-1718 | 2006-07-16 |
| 1164449138 | Jean Ann Cavanaugh | Physical Medicine & Rehabilitation | 2650 Ridge Ave, Department of Phys Med Suite 2204, Evanston, IL 60201-1718 | 2006-07-16 |
| Find all providers in EVANSTON | ||||
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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.