Evanston Spine and Rehab P.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

Legal business name

EVANSTON SPINE AND REHAB P.C.

Practice address

1325 Howard St Ste 309
Evanston, IL 60202-3788

Phone

(773) 425-8333

NPI assigned

Sep 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Vincent J Roberts, DC, FACO

Title

President

Phone

(773) 425-8333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tessa R Fischer, MD

  • Internal Medicine Physician
  • Evanston, IL
  • NPI 1730247859
  NPD (past)

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1356824601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CHICAGO AVE APT 5",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022353",
            "telephone_number": "773-425-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 HOWARD ST STE 309",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023788",
            "telephone_number": "773-425-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Chicago Ave Apt 5",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602022353",
            "country_code": "US",
            "telephone_number": "773-425-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVANSTON SPINE AND REHAB P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-425-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FACO"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evanston Podiatric Surgeons PC
• Evanston Podiatry Center
• Evanston Premier Healthcare Research LLC
• Evanston Relational Psychotherapy PLLC
• Evanston Skilled Nursing Facility LLC
• Evanston Township HDS 202
• Evanston Township High School Health Center
• Christine Katherine Everett, PT
• Evergreen Evanston LLC
• Justin Everson, CRNA

• Orthopedic Chiropractor in Evanston, IL
• Providers in Evanston, IL by specialty
• Orthopedic Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.