Active NPI
Community Health & Rehabilitation, SC
- Family Medicine Physician
- Hoffman Estates, IL
National Provider Identifier
1053404640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-103275
- Legal business name
- COMMUNITY HEALTH & REHABILITATION, SC
- Practice address
- 275 W Higgins Road
Hoffman Estates, IL 60169 - Phone
- (847) 885-8820
- Fax
- (847) 885-9578
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony J Petrone
- Title
- Ceo
- Phone
- (847) 885-8820
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 042617415 | IL | |
| Family Medicine Physician | 207Q00000X | 036-103275 | IL | Primary |
| General Practice Physician | 208D00000X | 1679510804 | IL | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | IL | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
275 W Higgins Road
Hoffman Estates, IL 60169
Mailing address
275 W Higgins Road
Hoffman Estates, IL 60169
Phone (847) 885-8820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1621687 | Other | IL | BLUE CROSS BLUE SHIELD |
| 7761619001 | Other | IL | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
275 W Higgins Rd
Hoffman Estates, IL 60169
Phone (847) 885-8820
900 National Pkwy
Ste 305
Schaumburg, IL 60173
Phone (847) 885-8820
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Hoffman Estates, IL
- NPI 1891990008
-
- Family Medicine Physician
- Hoffman Estates, IL
- NPI 1275526741
-
- Chiropractor
- Hoffman Estates, IL
- NPI 1871066845
-
- Orthopedic Chiropractor
- Hoffman Estates, IL
- NPI 1164439329
-
- Chiropractor
- Aurora, IL
- NPI 1053963595
-
- Chiropractor
- Barrington, IL
- NPI 1760530299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319500800000",
"number": "1053404640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W HIGGINS ROAD",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "60169",
"telephone_number": "847-885-8820",
"fax_number": "847-885-9578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W HIGGINS ROAD",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "60169",
"telephone_number": "847-885-8820",
"fax_number": "847-885-9578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HEALTH & REHABILITATION, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2011-10-25",
"status": "A",
"authorized_official_last_name": "PETRONE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-885-8820"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": "IL",
"license": "042617415",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": "036-103275",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "IL",
"license": "1679510804",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1621687",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7761619001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.