Center for Functional Rehabilitation

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

036-117058 Issued in IL

Legal business name

CENTER FOR FUNCTIONAL REHABILITATION

Practice address

820 W Jackson Blvd
Suite 310
Chicago, IL 60607-3026

Phone

(312) 757-4647

Fax

(312) 724-7647

NPI assigned

Nov 3, 2015

Organization subpart

No

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

Authorized official

Name

Sajjad Murtaza, M.D.

Title

Owner

Phone

(312) 757-4647

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1457724114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W JACKSON BLVD",
            "address_2": "SUITE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073026",
            "telephone_number": "312-757-4647",
            "fax_number": "312-724-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W JACKSON BLVD",
            "address_2": "SUITE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073026",
            "telephone_number": "312-757-4647",
            "fax_number": "312-724-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FUNCTIONAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "MURTAZA",
        "authorized_official_first_name": "SAJJAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-757-4647",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "036-117058",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IL",
            "license": "036-117058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Behavioral Medicine LTD
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• Center for Dermatology and Aesthetic Medicine, LLC
• Center for Grief Recovery and Sibling Loss
• Center for Gynecology and Cosmetics, LTD
• Center for Housing and Health
• Center for Integrative Psychiatry LLC
• Center for Intersectional Wellbeing PLLC

• Pain Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Pain Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.