Organization Active NPI

North Suburban Therapy, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Park Ridge, IL
National Provider Identifier
1376872911
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
144519 Issued in IL
Legal business name
NORTH SUBURBAN THERAPY, INC.
Practice address
1480 Renaissance Dr
Suite 304
Park Ridge, IL 60068-1332
Phone
(847) 768-9240
Fax
(847) 768-9304
NPI assigned
Dec 10, 2009
Last updated
Dec 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Akash Patel
Title
President
Phone
(847) 489-5532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 144519 IL Primary

Addresses

Primary practice location

1480 Renaissance Dr
Suite 304
Park Ridge, IL 60068-1332

Mailing address

1480 Renaissance Dr
Suite 304
Park Ridge, IL 60068-1332
Phone (847) 768-9240

National Provider Directory

National Provider Directory

Locations

1480 Renaissance Dr
Ste 304
Park Ridge, IL 60068
Phone (847) 302-1533

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1376872911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 RENAISSANCE DR",
            "address_2": "SUITE 304",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681332",
            "telephone_number": "847-768-9240",
            "fax_number": "847-768-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 RENAISSANCE DR",
            "address_2": "SUITE 304",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681332",
            "telephone_number": "847-768-9240",
            "fax_number": "847-768-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AKASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-489-5532"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "IL",
            "license": "144519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.