Organization Active NPI

Physiaservpc

  • Physical Medicine & Rehabilitation Physician
  • Lake Zurich, IL
National Provider Identifier
1457499774
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PHYSIASERVPC
Practice address
851 White Birch LN
Lake Zurich, IL 60047-2663
Phone
(847) 540-6756
NPI assigned
Feb 1, 2007
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Mr. Jerome Joseph Aniolowski
Title
Vice President
Phone
(847) 370-3806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

851 White Birch LN
Lake Zurich, IL 60047-2663

Mailing address

851 White Birch LN
Lake Zurich, IL 60047-2663
Phone (847) 540-6756

National Provider Directory

National Provider Directory

Locations

1305 Wiley Rd
Ste 133
Schaumburg, IL 60173

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1457499774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 WHITE BIRCH LN",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472663",
            "telephone_number": "847-540-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 WHITE BIRCH LN",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472663",
            "telephone_number": "847-540-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIASERVPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "ANIOLOWSKI",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-370-3806",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.