Organization Active NPI

Auburn Park Rehabilitation

  • Rehabilitation Chiropractor
  • Chicago, IL
National Provider Identifier
1063557429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
AUBURN PARK REHABILITATION
Practice address
326 W 47TH St
Chicago, IL 60609-4501
Phone
(773) 224-1900
Fax
(773) 224-1102
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Harmeyer, D.CNPI 1770696932
Title
Administrator
Phone
(773) 224-1900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X IL Primary

Addresses

Primary practice location

326 W 47TH St
Chicago, IL 60609-4501

Mailing address

326 W 47TH St
Chicago, IL 60609-4501

Other identifiers 1

IdentifierTypeStateIssuer
0021621831OtherILBCBS PROVIDER

National Provider Directory

National Provider Directory

Locations

326 W 47th St
Chicago, IL 60609
Phone (708) 535-0933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063557429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094501",
            "telephone_number": "773-224-1900",
            "fax_number": "773-224-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PARK REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARMEYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-224-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "0021621831",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.