Family Physical Medicine Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036114338 Issued in IL

Legal business name

FAMILY PHYSICAL MEDICINE CORP

Practice address

2182 Gladstone CT
Suite B
Glendale Heights, IL 60139-1517

Phone

(708) 991-9002

Fax

(708) 991-9003

NPI assigned

Jun 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kallahur Rahaman, DN

Title

Owner

Phone

(630) 863-5707

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Khalilur Rahaman, DN

  • Naprapath
  • Glendale Heights, IL
  • NPI 1902025406
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1336450386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 E WRIGHTWOOD AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392626",
            "telephone_number": "708-991-9002",
            "fax_number": "708-991-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 GLADSTONE CT",
            "address_2": "SUITE B",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391517",
            "telephone_number": "708-991-9002",
            "fax_number": "708-991-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICAL MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "RAHAMAN",
        "authorized_official_first_name": "KALLAHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-863-5707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DN"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181000337",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036114338",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Emerson, RN BSN ND MDN FNP-C
• Esd Glendale Heights, PC (Essentials Dental - Glendale Heights)
• Rodrigo Estrada, PHARMD
• Everbright Venture
• Ez Transport Services Inc.
• Arjumand Farhana, M.D
• Cai Fasse
• Nicholas Felesena, PA
• Fepico RCM LLC
• Brittni Gallagher

• General Practice Physician in Glendale Heights, IL
• Providers in Glendale Heights, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.