Illinois Healthcare Center Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ILLINOIS HEALTHCARE CENTER INC

Practice address

1546 Barclay Blvd
Buffalo Grove, IL 60089-4530

Phone

(847) 465-8415

Fax

(847) 465-8608

NPI assigned

Mar 3, 2006

Last updated

Apr 30, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sergei Smus, LMTNPI 1487621751

Title

President Co

Phone

(847) 465-8415

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aleksandr Goldvekht, MD

  • Physical Medicine & Rehabilitation Physician
  • Milwaukee, WI
  • NPI 1700807807

  IL

  Medicare reassignment NPD
• Sergei Smus, LMT

  • Massage Therapist
  • Buffalo Grove, IL
  • NPI 1487621751
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1013984384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 BARCLAY BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894530",
            "telephone_number": "847-465-8415",
            "fax_number": "847-465-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 BARCLAY BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894530",
            "telephone_number": "847-465-8415",
            "fax_number": "847-465-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS HEALTHCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "SMUS",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_title_or_position": "PRESIDENT CO",
        "authorized_official_telephone_number": "847-465-8415",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01635656",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ideal Health Diagnostics, Inc.
• Ih Physician Services, PC (Heartland Hospice (Northbrook))
• Illinois Bone and Joint Institute
• Illinois Bone and Joint Institute, LLC
• Illinois Bone and Joint Institute, LLC
• Illinois Institute of Medical Acupuncture
• Illinois Pain Relief Center LTD
• Img Endocrinology PLLC
• Immaculate Medical Imaging SC
• Allen M. Immergluck, R.PH.

• Physical Medicine & Rehabilitation Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.