NPIMap

Organization Active NPI

Absolute Medical Care LTD

  • Foot & Ankle Surgery Podiatrist
  • Crest Hill, IL
National Provider Identifier
1174785547
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005115 Issued in IL
Legal business name
ABSOLUTE MEDICAL CARE LTD
Practice address
20637 W Renwick Rd
Crest Hill, IL 60403-9200
Phone
(815) 838-9505
Fax
(815) 838-9506
NPI assigned
Jun 27, 2008
Last updated
Oct 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Zinoviy Rabinovich, DPMNPI 1356561534
Title
Owner Podiatrist
Phone
(815) 838-9505

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
Foot & Ankle Surgery Podiatrist 213ES0103X 016005115 IL Primary

Addresses

Primary practice location

20637 W Renwick Rd
Crest Hill, IL 60403-9200

Mailing address

20637 W Renwick Rd
Crest Hill, IL 60403-9200
Phone (815) 838-9505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090625000316 IL Part B Supplier - Clinic/Group Practice 6406907849 Receives reassigned benefits from 1 practitioner
Practice locations: Crest Hill, IL
O20100930073844 IL DME Supplier - Physician - General Practice 6406907849 Practice locations: Crest Hill, IL

National Provider Directory

National Provider Directory
Tax ID family
Absolute Medical Care LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1174785547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20637 W RENWICK RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604039200",
            "telephone_number": "815-838-9505",
            "fax_number": "815-838-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20637 W RENWICK RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604039200",
            "telephone_number": "815-838-9505",
            "fax_number": "815-838-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE MEDICAL CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "RABINOVICH",
        "authorized_official_first_name": "ZINOVIY",
        "authorized_official_title_or_position": "OWNER PODIATRIST",
        "authorized_official_telephone_number": "815-838-9505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.