Active NPI
Ez Spine and Joint Rehab Inc.
- Physical Therapist
- Northbrook, IL
National Provider Identifier
1124809280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- EZ SPINE AND JOINT REHAB INC.
- Practice address
- 3524 Milwaukee Ave
Northbrook, IL 60062-7130 - Phone
- (847) 296-1600
- Fax
- (224) 361-3550
- NPI assigned
- Oct 13, 2023
- 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
- Dr. Hanseok Oh, DPT
- Title
- President
- Phone
- (224) 616-7021
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3524 Milwaukee Ave
Northbrook, IL 60062-7130
Mailing address
3524 Milwaukee Ave
Northbrook, IL 60062-7130
Phone (847) 296-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3524 Milwaukee Ave
Northbrook, IL 60062
Phone (630) 280-4576
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Chicago, IL
- NPI 1669808820
-
- Physical Therapist
- Skokie, IL
- NPI 1811031198
-
- Physical Therapist
- Mount Prospect, IL
- NPI 1811355944
-
- Chiropractor
- Skokie, IL
- NPI 1538274030
-
- Chiropractor
- Schaumburg, IL
- NPI 1982069639
-
- Neurology Physician
- Chicago, IL
- NPI 1730163189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697155200000",
"number": "1124809280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3524 MILWAUKEE AVE",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627130",
"telephone_number": "847-296-1600",
"fax_number": "224-361-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3524 MILWAUKEE AVE",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627130",
"telephone_number": "847-296-1600",
"fax_number": "224-361-3550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EZ SPINE AND JOINT REHAB INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-13",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A",
"authorized_official_last_name": "OH",
"authorized_official_first_name": "HANSEOK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "224-616-7021",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.