Organization Active NPI

Hundolff Management Services

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1326744012
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HUNDOLFF MANAGEMENT SERVICES
Practice address
4920 N Central Ave Ste 1a
Chicago, IL 60630-2345
Phone
(773) 701-8048
NPI assigned
Feb 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Marnie Hundley
Title
Ceo
Phone
(708) 261-1642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4920 N Central Ave Ste 1a
Chicago, IL 60630-2345

Mailing address

100 E Irving Park Rd Ste 200
Roselle, IL 60172-2062
Phone (773) 701-8048

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1326744012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E IRVING PARK RD STE 200",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722062",
            "telephone_number": "773-701-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 N CENTRAL AVE STE 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302345",
            "telephone_number": "773-701-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNDOLFF MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "HUNDLEY",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-261-1642"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.