Active NPI
Ewima Rehab, LLC
- Chiropractor
- Northbrook, IL
National Provider Identifier
1396586038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- EWIMA REHAB, LLC
- Practice address
- 3400 Dundee Rd Ste 230
Northbrook, IL 60062-2334 - Phone
- (847) 849-1523
- Fax
- (847) 890-6145
- NPI assigned
- Jun 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Helen Riveron Cruz
- Title
- Practice Manager
- Phone
- (773) 618-2378
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
3400 Dundee Rd Ste 230
Northbrook, IL 60062-2334
Mailing address
3400 Dundee Rd Ste 230
Northbrook, IL 60062-2334
Phone (847) 849-1523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3400 Dundee Rd
Ste 230
Northbrook, IL 60062
Phone (847) 226-5503
3400 Dundee Rd
Northbrook, IL 60062
Phone (312) 492-4820
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Northbrook, IL
- NPI 1356987317
-
- Chiropractor
- Northbrook, IL
- NPI 1457366809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1396586038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DUNDEE RD STE 230",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622334",
"telephone_number": "847-849-1523",
"fax_number": "847-890-6145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 DUNDEE RD STE 230",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622334",
"telephone_number": "847-849-1523",
"fax_number": "847-890-6145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EWIMA REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-05",
"last_updated": "2024-07-31",
"certification_date": "2024-07-25",
"status": "A",
"authorized_official_last_name": "RIVERON CRUZ",
"authorized_official_first_name": "HELEN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "773-618-2378"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.