Organization Active NPI

Associates in Rehabilitation Medicine SC

  • Physical Medicine & Rehabilitation Physician
  • Oak Lawn, IL
National Provider Identifier
1104903442
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ASSOCIATES IN REHABILITATION MEDICINE SC
Practice address
4440 W 95TH St
Emg Lab Room 042 South
Oak Lawn, IL 60453-2600
Phone
(708) 684-5428
Fax
(708) 684-2079
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Roy Adair, MD
Title
Delegated Official
Phone
(708) 684-5428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4440 W 95TH St
Emg Lab Room 042 South
Oak Lawn, IL 60453-2600

Mailing address

4400 W 95TH St Ste 306
Oak Lawn, IL 60453-2659
Phone (086) 845-4287

Other identifiers 4

IdentifierTypeStateIssuer
01621490OtherILBCBS PROVIDER ID
131667300OtherILWORKERS COMPENSATION
47613OtherILADVOCATE HLTH PARTNERS ID
CF1234OtherILRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

4440 W 95th St
Ste 42
Oak Lawn, IL 60453
Phone (312) 714-5606

4400 W 95th St
Ste 306
Oak Lawn, IL 60453
Phone (708) 684-5428

4440 W 95th St
#41S
Oak Lawn, IL 60453

4440 W 95th St
Rm 42
Oak Lawn, IL 60453
Phone (708) 684-5428

4440 W 95th St
Ste 41
Oak Lawn, IL 60453

4440 W 95th St
Ste 42S
Oak Lawn, IL 60453

2045 E 170th St
South Holland, IL 60473
Phone (219) 923-2241

7501 S Quincy St
Willowbrook, IL 60527
Phone (630) 388-6700

Practitioners & affiliated clinicians

Practitioners 7

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1104903442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W 95TH ST STE 306",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532659",
            "telephone_number": "086-845-4287",
            "fax_number": "708-684-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "address_2": "EMG LAB ROOM 042 SOUTH",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-5428",
            "fax_number": "708-684-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN REHABILITATION MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "708-684-5428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "01621490",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "131667300",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE HLTH PARTNERS ID",
            "identifier": "47613",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF1234",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.