Organization Active NPI

Regency Rehabilitation Services

  • Rehabilitation Clinic/Center
  • Niles, IL
National Provider Identifier
1467444653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REGENCY REHABILITATION SERVICES
Practice address
6625 N Milwaukee Ave
Niles, IL 60714-4416
Phone
(847) 588-4131
Fax
(847) 588-1330
NPI assigned
Aug 16, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Benjamin Rogow
Title
President
Phone
(847) 647-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

6625 N Milwaukee Ave
Niles, IL 60714-4416

Mailing address

6625 N Milwaukee Ave
Niles, IL 60714-4416
Phone (847) 588-4131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467444653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144416",
            "telephone_number": "847-588-4131",
            "fax_number": "847-588-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144416",
            "telephone_number": "847-588-4131",
            "fax_number": "847-588-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGOW",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-647-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.