Active NPI
Action Physical Medicine & Rehabilitation, SC
- Physical Medicine & Rehabilitation Physician
- Shorewood, IL
National Provider Identifier
1174593016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ACTION PHYSICAL MEDICINE & REHABILITATION, SC
- Practice address
- 850 Brook Forest Ave
Unit F
Shorewood, IL 60404-8513 - Phone
- (815) 725-4918
- Fax
- (815) 725-4955
- NPI assigned
- Jan 24, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- John Mikuzis, D.O.
- Title
- Owner
- Phone
- (815) 725-4918
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Westmont, IL
- NPI 1467493668
Physical Medicine & Rehabilitation
-
- Physical Medicine & Rehabilitation Physician
- Shorewood, IL
- NPI 1659341543
Physical Medicine & Rehabilitation
-
- Physical Therapist
- Shorewood, IL
- NPI 1821184458
-
- Physical Therapist
- Chicago, IL
- NPI 1710918024
-
- Physical Therapist
- New Lenox, IL
- NPI 1073613048
-
- Physical Therapist
- Aurora, IL
- NPI 1750317541
-
- Physical Medicine & Rehabilitation Physician
- Elk Grove Village, IL
- NPI 1972690915
Physical Medicine & Rehabilitation
-
- Physical Therapy Clinic/Center
- West Chester, OH
- NPI 1184889586
Physical Therapy
-
- Physical Therapist
- Bloomington, MN
- NPI 1689775256
-
- Physical Therapist
- Fort Myers, FL
- NPI 1780610741
National Provider Directory
National Provider DirectoryLocations
1315 Macom Dr
Ste 5
Naperville, IL 60564
Phone (630) 904-5640
1890 Silver Cross Blvd
Ste 42
New Lenox, IL 60451
850 Brook Forest Ave
Unit F
Shorewood, IL 60404
Phone (815) 725-4918
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
850 Brook Forest Ave
Unit F
Shorewood, IL 60404-8513
Mailing address
850 Brook Forest Ave
Unit F
Shorewood, IL 60404-8513
Phone (815) 725-4918
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4521533 | Other | IL | BC/BS OF IL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2008.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1174593016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 BROOK FOREST AVE",
"address_2": "UNIT F",
"city": "SHOREWOOD",
"state": "IL",
"postal_code": "604048513",
"telephone_number": "815-725-4918",
"fax_number": "815-725-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 BROOK FOREST AVE",
"address_2": "UNIT F",
"city": "SHOREWOOD",
"state": "IL",
"postal_code": "604048513",
"telephone_number": "815-725-4918",
"fax_number": "815-725-4955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTION PHYSICAL MEDICINE & REHABILITATION, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-24",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MIKUZIS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-725-4918",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF IL",
"identifier": "4521533",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shorewood, IL
- 1918 Winter Street Operating Co LLC
- 360 Wellness
- A Plus Healthcare Management LLC
- Accelerated Rehabilitation Centers, LTD
- Action for Kids, P.C.
- Action Therapy Services, LTD.
- Jason Todd Adolph, MS, LAT ATC
- Advanced Family Dental of Shorewood, P.C.
- Affordable Dentures & Implants - Shorewood II, P.C.
- Affordable Dentures & Implants - Shorewood, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.