Naperville Rehab and Medical Clinic PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

036081581 Issued in IL

Legal business name

NAPERVILLE REHAB AND MEDICAL CLINIC PC

Practice address

1750 N Washington St Ste 112C
Naperville, IL 60563-4850

Phone

(630) 961-1888

Fax

(773) 337-9106

NPI assigned

Jun 28, 2018

Last updated

Jan 18, 2023By 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

Kambiz Maghsoudi, DCNPI 1770557134

Title

Owner

Phone

(630) 961-1888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 10

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.

• Melanie Bonanno, APN

  • Family Nurse Practitioner
  • Waukegan, IL
  • NPI 1932625936
  Medicare reassignment NPD
• John V O'Hara, MD

  • Pain Medicine (Anesthesiology) Physician
  • Elgin, IL
  • NPI 1811056559
  Medicare reassignment NPD
• Rutvi Shah

  • Physical Therapist
  • Chicago, IL
  • NPI 1194072983
  Medicare reassignment NPD
• Karen E Snyder, PT

  • Physical Therapist
  • Aurora, IL
  • NPI 1285006148
  Medicare reassignment NPD
• Kambiz Tony Maghsoudi, D.C.

  • Chiropractor
  • Naperville, IL
  • NPI 1770557134
  NPD Authorized official
• Payal Dave, PT

  • Orthopedic Physical Therapist
  • Oswego, IL
  • NPI 1801329693
  Medicare reassignment
• Albertina Darice Logan, D.C.

  • Chiropractor
  • Oakbrook Terrace, IL
  • NPI 1114940889
  NPD
• James Ryan Ludvik, D.C.

  • Chiropractor
  • Joliet, IL
  • NPI 1114223641
  NPD
• Michael James Maloney, DC

  • Chiropractor
  • Naperville, IL
  • NPI 1548250889
  NPD (past)
• Tushar A Rawalji, DC

  • Chiropractor
  • Forest Park, IL
  • NPI 1992848154
  NPD (past)

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1053806406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N WASHINGTON ST STE 112C",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634850",
            "telephone_number": "630-961-1888",
            "fax_number": "773-337-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N WASHINGTON ST STE 112C",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634850",
            "telephone_number": "630-961-1888",
            "fax_number": "773-337-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE REHAB AND MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "MAGHSOUDI",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-961-1888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "036081581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naperville Pediatric Therapy LLC
• Naperville Physical Therapy Center P C (Fyzical Therapy & Balance Centers - Naperville)
• Naperville Psychiatric Ventures (Endeavor Health Linden Oaks Hospital)
• Naperville Psychiatric Ventures (Linden Oaks Hospital)
• Naperville Radiologists, SC
• Naperville Rehab Clinic LTD
• Naperville Rehabilitation and Pain Management Center, P.C.
• Naperville Senior Care (Monarch Landing Outpatient Rehabilitation Services)
• Naperville Senior Care LLC (The Springs at Monarch Landing)
• Naperville Senior Center Adult Day Services

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.