NPIMap

Organization Active NPI

Advanced Physical Medicine Associates, SC

  • Physical Medicine & Rehabilitation Physician
  • Lyons, IL
National Provider Identifier
1154571032
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036094371 Issued in IL
Legal business name
ADVANCED PHYSICAL MEDICINE ASSOCIATES, SC
Practice address
3840 Harlem Ave
Lyons, IL 60534-1289
Phone
(630) 924-1450
Fax
(630) 924-1459
NPI assigned
Sep 26, 2008
Last updated
Sep 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. John C Sarantopoulos, DONPI 1639185275
Title
President
Phone
(630) 924-1450

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
Physical Medicine & Rehabilitation Physician 208100000X 036094371 IL Primary

Addresses

Primary practice location

3840 Harlem Ave
Lyons, IL 60534-1289

Mailing address

490 W Lake St
Suite 105
Roselle, IL 60172-3583
Phone (630) 924-1450

Other identifiers 1

IdentifierTypeStateIssuer
G38160OtherUPIN

National Provider Directory

National Provider Directory
Tax ID family
Advanced Physical Medicine Associates SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3840 Harlem Ave
Lyons, IL 60534
Phone (630) 696-8873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1154571032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 W LAKE ST",
            "address_2": "SUITE 105",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723583",
            "telephone_number": "630-924-1450",
            "fax_number": "630-924-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 HARLEM AVE",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341289",
            "telephone_number": "630-924-1450",
            "fax_number": "630-924-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL MEDICINE ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "SARANTOPOULOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-924-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036094371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G38160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.