Organization Active NPI

WCS Occupational Rehabilitation & Sports Medicine, Inc.

  • Specialist
  • Aurora, IL
National Provider Identifier
1154628642
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WCS OCCUPATIONAL REHABILITATION & SPORTS MEDICINE, INC.
Practice address
2124 Ogden Ave
Suite 102
Aurora, IL 60504-7514
Phone
(708) 671-0771
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Laurie Carter
Title
Director of Administration
Phone
(708) 671-0771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2124 Ogden Ave
Suite 102
Aurora, IL 60504-7514

Mailing address

12400 S Harlem Ave
Palos Heights, IL 60463-1440
Phone (708) 671-0771

National Provider Directory

National Provider Directory
Tax ID family
WCS Occupational Rehabilitation and Sports Medicine Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

2124 Ogden Ave
Ste 102
Aurora, IL 60504
Phone (630) 229-6451

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": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1154628642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631440",
            "telephone_number": "708-671-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 OGDEN AVE",
            "address_2": "SUITE 102",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047514",
            "telephone_number": "708-671-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCS OCCUPATIONAL REHABILITATION & SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "708-671-0771"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.