Central Illinois Rehabilitation Associates Inc SC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CENTRAL ILLINOIS REHABILITATION ASSOCIATES INC SC

Practice address

4422 N Brandywine Dr
Peoria, IL 61614-5509

Phone

(309) 687-5450

Fax

(309) 687-5419

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Allen Flores, MD

Title

Owner

Phone

(309) 687-5450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1285842161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 N BRANDYWINE DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145509",
            "telephone_number": "309-687-5450",
            "fax_number": "309-687-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 N BRANDYWINE DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145509",
            "telephone_number": "309-687-5450",
            "fax_number": "309-687-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS REHABILITATION ASSOCIATES INC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-687-5450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Illinois Nerve Testing LTD
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• Central Illinois Radiation Oncology Physicians, LTD
• Central Illinois Radiological Associates, LTD. (Central Illinois Radiological Associates)
• Dexter Cervantes, O.T.
• Shinymol John Chacko, MD
• Amitoj Singh Chadha, MBBS
• Deboshruti Chakraborty, M.B.B.S
• Shruti Chakravarthy, MD

• Rehabilitation Clinic/Center in Peoria, IL
• Providers in Peoria, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.