Active NPI
Maureen Beifuss Brennan
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070008202
- Practice address
- 1725 W Harrison St Ste 1006
Professional Office Building
Chicago, IL 60612-3841 - Phone
- (312) 563-2454
- Fax
- (312) 563-2222
- NPI assigned
- Feb 12, 2008
- Last updated
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070008202 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St Ste 1006
Professional Office Building
Chicago, IL 60612-3841
Mailing address
1725 W Harrison St Ste 1006
Professional Office Building
Chicago, IL 60612-3841
Phone (312) 563-2454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1614 W Central Rd
Suite 200
Arlington Heights, IL 60005-2453
Phone (847) 481-6077
444 N Northwest Hwy
Suite 145
Park Ridge, IL 60068-3275
Phone (847) 384-6804
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070008202 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Kamin Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Rush University Medical Center | Current | Accepting new patients | |
| Northwest Wellness Group LLC | Current | Accepting new patients |
Locations
1614 W Central Rd
Ste 200
Arlington Hts, IL 60005
Phone (847) 481-6077
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1725 W Harrison St
Ofc
Chicago, IL 60612
Phone (312) 563-2363
75 Remittance Dr
Dept 1611
Chicago, IL 60675
2011 York Rd
Fl 2
Oak Brook, IL 60523
Phone (630) 724-1310
2011 York Rd
Ste 2000A
Oak Brook, IL 60523
Phone (630) 724-1300
444 N Northwest Hwy
Ste 145
Park Ridge, IL 60068
Phone (847) 384-6804
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Park Ridge, IL
- NPI 1093858862
Physical Therapist
-
- Physical Therapy Clinic/Center
- Arlington Heights, IL
- NPI 1619372893
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
dba Radiology Services
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1184269425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1114195153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 1006",
"address_2": "PROFESSIONAL OFFICE BUILDING",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-563-2454",
"fax_number": "312-563-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 1006",
"address_2": "PROFESSIONAL OFFICE BUILDING",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-563-2454",
"fax_number": "312-563-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "MAUREEN",
"middle_name": "BEIFUSS",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070008202",
"primary": true
}
],
"identifiers": [],
"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 Feb 12, 2008; 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.