Organization Active NPI

Rozman Institute of Medicine Rehabilitation SC

  • Physical Medicine & Rehabilitation Physician
  • Glenview, IL
National Provider Identifier
1023216819
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ROZMAN INSTITUTE OF MEDICINE REHABILITATION SC
Practice address
333 Waukegan Rd Ste F
Glenview, IL 60025-5122
Phone
(847) 486-9643
Fax
(847) 486-9637
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Dr. Anatoly Motel Rozman, MD
Title
Medical Director
Phone
(815) 608-6446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

333 Waukegan Rd Ste F
Glenview, IL 60025-5122

Mailing address

11800 Cardinal LN
Caledonia, IL 61011-9774
Phone (815) 505-4554

Other identifiers 1

IdentifierTypeStateIssuer
01635020OtherILBCBS ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1023216819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 CARDINAL LN",
            "city": "CALEDONIA",
            "state": "IL",
            "postal_code": "610119774",
            "telephone_number": "815-505-4554",
            "fax_number": "815-885-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WAUKEGAN RD STE F",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255122",
            "telephone_number": "847-486-9643",
            "fax_number": "847-486-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROZMAN INSTITUTE OF MEDICINE REHABILITATION SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "ROZMAN",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_middle_name": "MOTEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-608-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "01635020",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.