Cordoba Health Group LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

CORDOBA HEALTH GROUP LLC

Practice address

17 W 662 Butterfield Rd.
Suie 306B
Oakbrook Terrace, IL 60181

Phone

(630) 408-1117

NPI assigned

May 26, 2015

Reactivated

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Bader Almoshelli, MD

Title

Owner

Phone

(630) 408-1117

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mazen Atassi, ND

  • Naturopath
  • Oakbrook Terrace, IL
  • NPI 1932682564
  NPD (past)

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1215316013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W 662 BUTTERFIELD RD.",
            "address_2": "SUIE 306B",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-408-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W 662 BUTTERFIELD RD.",
            "address_2": "SUIE 306B",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-408-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOBA HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2019-07-31",
        "deactivation_date": "2017-10-26",
        "reactivation_date": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "ALMOSHELLI",
        "authorized_official_first_name": "BADER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-408-1117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Home Physicians, LLC
• Complete Pain Management LLC
• Kristina Conner, N.D., MSOM
• Maureen Conway
• Laura Cooper
• Joseph M Coscino, PC
• Tranda Covington, ALMFT
• Crescent Home Healthcare, Inc.
• Kathleen Czuba, CCC-SLP
• Amin N Daghestani, MD

• All providers in Oakbrook Terrace, IL
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.