NPIMap

Organization Active NPI

Centerimt Chicago Il PC

  • Physical Therapist
  • Elmhurst, IL
National Provider Identifier
1184676835
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CENTERIMT CHICAGO IL PC
Practice address
180 W. Park Ave.
Ste. 250
Elmhurst, IL 60126-3357
Phone
(630) 279-0032
Fax
(630) 279-1833
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Meejung Jane Park, M.P.T., I.M.T., C.NPI 1003914425
Title
Practice Manager
Phone
(630) 279-0032

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

180 W. Park Ave.
Ste. 250
Elmhurst, IL 60126-3357

Mailing address

180 W. Park Ave.
Ste. 250
Elmhurst, IL 60126-3357
Phone (630) 279-0032

Other names 1

  • Center IMT Chicago Other name

National Provider Directory

National Provider Directory

Locations

5875 N Lincoln Ave
Ste 116
Chicago, IL 60659
Phone (630) 279-0032

180 W Park Ave
Ste 250
Elmhurst, IL 60126
Phone (630) 279-0032

325 N Milwaukee Ave
Ste D
Wheeling, IL 60090
Phone (630) 279-0032

Practitioners & affiliated clinicians

Practitioners 6

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1184676835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W. PARK AVE.",
            "address_2": "STE. 250",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263357",
            "telephone_number": "630-279-0032",
            "fax_number": "630-279-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W. PARK AVE.",
            "address_2": "STE. 250",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263357",
            "telephone_number": "630-279-0032",
            "fax_number": "630-279-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERIMT CHICAGO IL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MEEJUNG",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "630-279-0032",
        "authorized_official_credential": "M.P.T., I.M.T., C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center IMT Chicago",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.