Active NPI
Char Lynn Haran, MPT
- Physical Therapist
- Chicago Ridge, IL
National Provider Identifier
1144652827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070012887
- Practice address
- 10300 Southwest Hwy
Chicago Ridge, IL 60415-1426 - Phone
- (708) 425-1100
- NPI assigned
- Aug 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070012887 | IL | Primary |
Addresses
Primary practice location
10300 Southwest Hwy
Chicago Ridge, IL 60415-1426
Mailing address
10858 S Homan Ave
Chicago, IL 60655-2612
Phone (773) 430-2396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070012887 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1144652827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10858 S HOMAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606552612",
"telephone_number": "773-430-2396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SOUTHWEST HWY",
"city": "CHICAGO RIDGE",
"state": "IL",
"postal_code": "604151426",
"telephone_number": "708-425-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARAN",
"first_name": "CHAR",
"middle_name": "LYNN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070012887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.