NPIMap

Organization Active NPI

John Comersouski PT PC

  • Physical Therapy Clinic/Center
  • Lombard, IL
National Provider Identifier
1285197608
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JOHN COMERSOUSKI PT PC
Practice address
438 Eisenhower LN N
Lombard, IL 60148-5404
Phone
(630) 268-1045
Fax
(630) 268-1047
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
John Comerouskic, PT
Title
President
Phone
(630) 268-1045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

438 Eisenhower LN N
Lombard, IL 60148-5404

Mailing address

438 Eisenhower LN N
Lombard, IL 60148-5404
Phone (630) 268-1045

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1285197608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 EISENHOWER LN N",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485404",
            "telephone_number": "630-268-1045",
            "fax_number": "630-268-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 EISENHOWER LN N",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485404",
            "telephone_number": "630-268-1045",
            "fax_number": "630-268-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN COMERSOUSKI PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "COMEROUSKIC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-268-1045",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.