P K Physiatry SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

042618039 Issued in IL

Legal business name

P K PHYSIATRY SC

Practice address

4052 Teak Cir
Naperville, IL 60564-1103

Phone

(630) 904-1306

Fax

(630) 904-1306

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sheila Khanna, M.D.

Title

President

Phone

(630) 904-1306

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1295855229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 TEAK CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605641103",
            "telephone_number": "630-904-1306",
            "fax_number": "630-904-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 TEAK CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605641103",
            "telephone_number": "630-904-1306",
            "fax_number": "630-904-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P K PHYSIATRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-904-1306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "042618039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "02232261",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eki Osayi Owie-Odion, RN
• Habibat Owolabi, NURSE PRACTITIONER
• Tamara Owsley
• Vanessa Owusu, DPT
• Diane L Ozog, MD
• P W Beneshunas Enterprises LTD
• Lauren Ashley Pac, LCPC
• Lisa Pac, DPT
• Mary Elizabeth Pacejka, LCSW
• Melissa Lynn Pacione, LPC

• Physical Medicine & Rehabilitation Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.