Injury Centers of Illinois

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INJURY CENTERS OF ILLINOIS

Practice address

1604 Sibley Blvd
Calumet City, IL 60409-2231

Phone

(708) 360-3258

NPI assigned

Jan 15, 2021

Organization subpart

No

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

Authorized official

Name

Thomas P Dzielawski, DCNPI 1588780993

Title

Physician

Phone

(773) 969-4777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Thomas Dzielawski, D.C.

  • Chiropractor
  • Burbank, IL
  • NPI 1588780993
  NPD Authorized official

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1265021067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 SIBLEY BLVD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092231",
            "telephone_number": "708-360-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SIBLEY BLVD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092231",
            "telephone_number": "708-360-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY CENTERS OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "DZIELAWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-969-4777",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Hutcherson
• Theresa Ibeabuchi, NURSE PRACTITIONER
• Illiana Home Physician Services Inc
• Illiana Home Physician Services Inc
• Vincent Wing Ing, D.C.
• Integrated Dermatology of Calumet City LLC
• Integrity Home Health Care Services, Inc
• It'S About Change Sober Living, Inc.
• Jaytrust LLC
• Edith Jenkins

• Physical Therapy Clinic/Center in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.