Bader Almoshelli MD

Key facts

NPI

1124425210

Entity type

Organization (NPI type 2)

Primary specialty

Physical Medicine & Rehabilitation Physician 208100000X

Legal business name

BADER ALMOSHELLI MD

Practice address

924 Newton Ave
Glen Ellyn, IL 60137-3748

Phone

(630) 408-1117

NPI assigned

Dec 4, 2014

Organization subpart

No

Authorized official

Name

Bader Almoshelli, MD

Title

Owner

Phone

(630) 408-1117

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2020.

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1124425210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 NEWTON AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373748",
            "telephone_number": "630-408-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 NEWTON AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373748",
            "telephone_number": "630-408-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADER ALMOSHELLI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Glen Ellyn, IL · Physical Medicine & Rehabilitation Physician in Illinois