Active NPI
Rex Medical Services LLC
- Internal Medicine Physician
- Chicago Heights, IL
National Provider Identifier
1124575725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 209013679
- Legal business name
- REX MEDICAL SERVICES LLC
- Practice address
- 17 Olympic VLG
# 3B
Chicago Heights, IL 60411-8101 - Phone
- (708) 204-7612
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christian Oyibe, N.P.
- Title
- N.P.
- Phone
- (708) 204-7612
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 209013679 | IL | Primary |
Addresses
Primary practice location
17 Olympic VLG
# 3B
Chicago Heights, IL 60411-8101
Mailing address
17 Olympic VLG
# 3B
Chicago Heights, IL 60411-8101
Phone (708) 204-7612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160916000065 | IL | Part B Supplier - Clinic/Group Practice | 8628364791 |
Receives reassigned benefits from 1 practitioner Practice locations: Orland Park, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473379200000",
"number": "1124575725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 OLYMPIC VLG",
"address_2": "# 3B",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604118101",
"telephone_number": "708-204-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 OLYMPIC VLG",
"address_2": "# 3B",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604118101",
"telephone_number": "708-204-7612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REX MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-09",
"status": "A",
"authorized_official_last_name": "OYIBE",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_title_or_position": "N.P.",
"authorized_official_telephone_number": "708-204-7612",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "N.P."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "209013679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.