Active NPI
Sultan A Budhwani, PT, DPT, OCS
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070021683
- Practice address
- 1801 W Taylor St
Chicago, IL 60612-4795 - Phone
- (312) 355-4394
- NPI assigned
- Nov 23, 2016
- Last updated
- Sep 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070021683 | IL | Primary |
Addresses
Primary practice location
1801 W Taylor St
Chicago, IL 60612-4795
Mailing address
9125 Harlem Ave
Morton Grove, IL 60053-2068
Other practice location 1
9125 Harlem Ave
Morton Grove, IL 60053-2068
Phone (847) 644-1637
Other practice location 2
9545 Terrace Pl
Des Plaines, IL 60016-3909
Phone (847) 261-4024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070021683 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of Illinois Medical PC | Current | Accepting new patients | |
| Strengthlab Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Premise Health of Illinois Medical PC | Current | Accepting new patients | |
| DPT Holdings, LLC | Physical Therapist | Current | Accepting new patients |
Locations
16906 Collection Ctr Dr
Chicago, IL 60693
20 S Clark St
Ste 1020
Chicago, IL 60603
Phone (312) 368-8400
6150 Joliet Rd
Countryside, IL 60525
Phone (708) 485-2273
4179 Dundee Rd
Ste A106
Northbrook, IL 60062
Phone (847) 402-2300
5500 Maryland Way
Ste 120
Brentwood, TN 37027
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mount Vernon Health Center Mt Vernon
- Primary Care Clinic/Center
- Mount Vernon, IL
- NPI 1427366921
-
dba StrengthLab PT
- Physical Therapist
- Morton Grove, IL
- NPI 1326760646
-
dba MCL Health Center - Utica
- Multi-Specialty Clinic/Center
- Utica, IL
- NPI 1295518868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1235672288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9125 HARLEM AVE",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124795",
"telephone_number": "312-355-4394"
}
],
"practiceLocations": [
{
"address_1": "9125 Harlem Ave",
"address_purpose": "LOCATION",
"city": "Morton Grove",
"state": "IL",
"postal_code": "600532068",
"country_code": "US",
"telephone_number": "847-644-1637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9545 Terrace Pl",
"address_purpose": "LOCATION",
"city": "Des Plaines",
"state": "IL",
"postal_code": "600163909",
"country_code": "US",
"telephone_number": "847-261-4024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUDHWANI",
"first_name": "SULTAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-23",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.