Clear View Medical & Rehab Clinic, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CLEAR VIEW MEDICAL & REHAB CLINIC, INC

Practice address

4413 Roosevelt Rd
Ste 102a
Hillside, IL 60162-2074

Phone

(708) 449-7500

NPI assigned

Sep 25, 2006

Last updated

May 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Ita

Title

President

Phone

(708) 484-9775

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1356441505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 ROOSEVELT RD",
            "address_2": "STE 102A",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622074",
            "telephone_number": "708-449-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 ROOSEVELT RD",
            "address_2": "STE 102A",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622074",
            "telephone_number": "708-449-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VIEW MEDICAL & REHAB CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "ITA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-484-9775"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adam Reese Conlin, PHARMD
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• Multi-Specialty Clinic/Center in Hillside, IL
• Providers in Hillside, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.