Individual provider Active NPI

Kevin C. Harang, P.T.

  • Physical Therapist
  • Bannockburn, IL
National Provider Identifier
1093996993
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2525 Waukegan Rd
Suite 255
Bannockburn, IL 60015-5514
Phone
(847) 951-8558
NPI assigned
Nov 19, 2007
Last updated
Nov 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

2525 Waukegan Rd
Suite 255
Bannockburn, IL 60015-5514

Mailing address

2525 Waukegan Rd
Suite 255
Bannockburn, IL 60015-5514
Phone (847) 951-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171220000023 IL Practitioner - Physical Therapist in Private Practice 2961760004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pri Chicago PLLCGroup PAC ID 5496148223, 3 clinicians

Practice addresses (Care Compare)

188 W Industrial Dr
Suite 110
Elmhurst, IL 60126-1608
Phone (331) 979-7475

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
070-003926ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pri Chicago PLLC CurrentSince Jan 13, 2022 Accepting new patients
Manual Touch Physical Therapy Physical Therapist CurrentSince Jun 29, 2020 Accepting new patients
Premiere Anesthesia Group LLC PastSince Jul 1, 2016 Accepting new patients

Locations

188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475

325 N Milwaukee Ave
Ste D
Wheeling, IL 60090
Phone (630) 279-0032

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1093996993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WAUKEGAN RD",
            "address_2": "SUITE 255",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600155514",
            "telephone_number": "847-951-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WAUKEGAN RD",
            "address_2": "SUITE 255",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600155514",
            "telephone_number": "847-951-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARANG",
        "first_name": "KEVIN",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bannockburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.