Mark Romelstein Cabo Gonzaga, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070015605 Issued in IL

Practice address

3703 W Lake Ave
Glenview, IL 60026-5823

Phone

(847) 998-1188

Fax

(847) 998-8008

NPI assigned

Apr 29, 2008

Last updated

Apr 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Comprehensive Group

  • Home Health Agency
  • Glenview, IL
  • NPI 1689969867
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1275708265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 E BARONET LN",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746817",
            "telephone_number": "847-818-9216",
            "fax_number": "847-818-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 W LAKE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265823",
            "telephone_number": "847-998-1188",
            "fax_number": "847-998-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZAGA",
        "first_name": "MARK ROMELSTEIN",
        "middle_name": "CABO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B Goldman, LPC CRADC CEAP PCGC
• Roberta Goldman, RN
• Steven J Goldman, M.D., PH.D
• Claudia Gomez, OT
• Joseph Gomez, LAT, ATC
• Daniel Jordan Gonzales Jr.
• Angela Gonzalez
• Bianca A Gonzalez, LCPC
• Erin Jacquelin Gonzalez
• Rachel Goode, MS, OTR

• Physical Therapist in Glenview, IL
• Providers in Glenview, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.