Gurnee Physical Medicine LTD

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GURNEE PHYSICAL MEDICINE LTD

Practice address

5415 Grand Ave
Gurnee, IL 60031-4906

Phone

(847) 336-4444

Fax

(847) 336-4446

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Neelesh Patel IIINPI 1659380962

Title

Clinic Director

Phone

(847) 336-4444

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neelesh Patel, DC

  • Chiropractor
  • Vernon Hills, IL
  • NPI 1659380962
  NPD (past) Authorized official
• Leo Robert Halkovich, PT

  • Physical Therapist
  • Libertyville, IL
  • NPI 1639250954
  NPD (past)
• Bradley Mattson, DC

  • Chiropractor
  • Vernon Hills, IL
  • NPI 1437260783
  NPD (past)
• Oleg Minkevitch, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1700816477
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1467677948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 W. GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-336-4444",
            "fax_number": "847-336-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314906",
            "telephone_number": "847-336-4444",
            "fax_number": "847-336-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURNEE PHYSICAL MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEELESH",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "847-336-4444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurnee Dental Arts
• Gurnee Dental Care, LLC
• Gurnee Eye Care, P.C.
• Gurnee Orthodontics LLC
• Gurnee Pediatrics, S.C.
• Gurnee Radiology Center, LLC
• Gurnee School District 56
• Gurnee Stone Medical Center P.C
• Gurnee Stone Medical Center PC
• Gurnee Supportive Living, LP

• Specialist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.