Organization Active NPI

Rem Group Family & Associates LTD

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1255668117
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149002915 Issued in IL
Legal business name
REM GROUP FAMILY & ASSOCIATES LTD
Practice address
3330 Dundee Rd
N 3
Northbrook, IL 60062-2318
Phone
(847) 274-5104
Fax
(847) 808-7191
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Mr. Michael Ostrower, MSW
Title
President
Phone
(847) 274-5104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149002915 IL Primary

Addresses

Primary practice location

3330 Dundee Rd
N 3
Northbrook, IL 60062-2318

Mailing address

3330 Dundee Rd
N 3
Northbrook, IL 60062-2318
Phone (847) 274-5104

Other identifiers 1

IdentifierTypeStateIssuer
11374584OtherCAQH

National Provider Directory

National Provider Directory

Locations

3330 Dundee Rd
Ste N3
Northbrook, IL 60062
Phone (847) 274-5104

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1255668117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 DUNDEE RD",
            "address_2": "N 3",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622318",
            "telephone_number": "847-274-5104",
            "fax_number": "847-808-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 DUNDEE RD",
            "address_2": "N 3",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622318",
            "telephone_number": "847-274-5104",
            "fax_number": "847-808-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM GROUP FAMILY & ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "OSTROWER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-274-5104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11374584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.