Clinic of Chicago Professionals P C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-012652 Issued in IL

Legal business name

CLINIC OF CHICAGO PROFESSIONALS P C

Practice address

6444 West Belmont Avenue
Unit B
Chicago, IL 60634

Phone

(773) 283-7535

Fax

(773) 283-7530

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jaroslaw Prus, P.T.

Title

President

Phone

(773) 283-7535

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1144358375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 WEST BELMONT AVENUE",
            "address_2": "UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-283-7535",
            "fax_number": "773-283-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 WEST BELMONT AVENUE",
            "address_2": "UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-283-7535",
            "fax_number": "773-283-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC OF CHICAGO PROFESSIONALS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "PRUS",
        "authorized_official_first_name": "JAROSLAW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-283-7535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.012652",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-012652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Cline
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• Stacey Ann Cline, DC
• Caroline Clingan
• Clinic 1, LLC
• Clinica Guadalupe PC
• Clinica Urgent Care Inc
• Clinical Assist, LTD. (Black Bear Academy)
• Clinical Cardiology Group, LTD.
• Clinical Expressions

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.