Core Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CORE REHAB, LLC

Practice address

6524 W Archer Ave
Chicago, IL 60638-2400

Phone

(773) 229-9600

Fax

(773) 229-9611

NPI assigned

Jan 30, 2017

Organization subpart

No

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

Authorized official

Name

Krishna C Chunduri

Title

President/Owner

Phone

(312) 952-2226

Specialties & licenses 2

Addresses

Other names 1

• Midwest Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Howard Chiu, DPT

  • Physical Therapy Clinic/Center
  • Willowbrook, IL
  • NPI 1558730317

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1306383203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382400",
            "telephone_number": "773-229-9600",
            "fax_number": "773-229-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382400",
            "telephone_number": "773-229-9600",
            "fax_number": "773-229-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "CHUNDURI",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "312-952-2226"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Core Counseling and Consulting LLC
• Core Counseling Inc.
• Core Physical Therapy Clinics, LLC
• Core Physical Therapy Clinics, LLC
• Core Psychological Associates, LLC
• Jennifer Arlin Coren, AU.D.
• Corey & Cynthia F. Dabney Behavioral Health Hospital
• Corey & Cynthia F. Dabney Behavioral Health Hospital
• Christopher F Corey, DPT
• Ana Rosa Coria Alvarez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.