Organization Active NPI

Rex Medical Services LLC

  • Internal Medicine Physician
  • Chicago Heights, IL
National Provider Identifier
1124575725
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209013679 Issued in IL
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

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Mr. Christian Oyibe, N.P.NPI 1528423019
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.