Organization Active NPI

Skilled Rehabilitation Specialists, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Westchester, IL
National Provider Identifier
1053851618
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036134581 Issued in IL
Legal business name
SKILLED REHABILITATION SPECIALISTS, INC.
Practice address
1513 Norfolk Ave
Westchester, IL 60154-3737
Phone
(630) 408-1117
Fax
(708) 575-2876
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Bader Almoshelli, M.D.
Title
Owner
Phone
(630) 408-1117

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 036134581 IL Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

1513 Norfolk Ave
Westchester, IL 60154-3737

Mailing address

1513 Norfolk Ave
Westchester, IL 60154-3737
Phone (630) 408-1117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1053851618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 NORFOLK AVE",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601543737",
            "telephone_number": "630-408-1117",
            "fax_number": "708-575-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 NORFOLK AVE",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601543737",
            "telephone_number": "630-408-1117",
            "fax_number": "708-575-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED REHABILITATION SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "ALMOSHELLI",
        "authorized_official_first_name": "BADER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-408-1117",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036134581",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.