Organization Active NPI

Bader Almoshelli MD

  • Physical Medicine & Rehabilitation Physician
  • Glen Ellyn, IL
National Provider Identifier
1124425210
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 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
Last updated
Aug 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Bader Almoshelli, MD
Title
Owner
Phone
(630) 408-1117

Specialties & licenses 1

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

Addresses

Primary practice location

924 Newton Ave
Glen Ellyn, IL 60137-3748

Mailing address

924 Newton Ave
Glen Ellyn, IL 60137-3748
Phone (630) 408-1117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "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": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.