Organization Active NPI

SNF Physiatry Services Il PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1326884743
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SNF PHYSIATRY SERVICES IL PLLC
Doing business as
American Physiatry
Practice address
1 E Erie St
Chicago, IL 60611-2740
Phone
(732) 813-0799
NPI assigned
Jul 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Moshe Nath
Title
Ceo
Phone
(732) 813-0799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1 E Erie St
Chicago, IL 60611-2740

Mailing address

8420 N Knoxville Ave
Suite C #1059
Peoria, IL 61615
Phone (203) 217-9500

Other names 1

  • American Physiatry Doing business as

National Provider Directory

National Provider Directory

Locations

1 E Erie St
Ste 525
Chicago, IL 60611
Phone (312) 775-2045

1223 Edgewater Dr
Morris, IL 60450
Phone (815) 416-6500

8420 N Knoxville Ave
#C
Peoria, IL 61615
Phone (309) 202-4417

NPI Registry JSON

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1326884743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 N KNOXVILLE AVE",
            "address_2": "SUITE C #1059",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "203-217-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112740",
            "telephone_number": "732-813-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNF PHYSIATRY SERVICES IL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "NATH",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-813-0799"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Physiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Physiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2024; 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.