Organization Active NPI

Rehabilitation Services Group LTD

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1376715433
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REHABILITATION SERVICES GROUP LTD
Practice address
6039 W Belmont Ave
Chicago, IL 60634-5116
Phone
(630) 254-3621
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Lech Blachura, PT
Title
PT
Phone
(630) 254-3621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X IL Primary

Addresses

Primary practice location

6039 W Belmont Ave
Chicago, IL 60634-5116

Mailing address

6039 W Belmont Ave
Chicago, IL 60634-5116
Phone (630) 254-3621

Other identifiers 1

IdentifierTypeStateIssuer
01635324OtherILBLUECROSS BLUESHILD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1376715433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345116",
            "telephone_number": "630-254-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345116",
            "telephone_number": "630-254-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SERVICES GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "BLACHURA",
        "authorized_official_first_name": "LECH",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "630-254-3621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHILD",
            "identifier": "01635324",
            "state": "IL"
        }
    ],
    "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 Mar 28, 2008; 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.