Individual provider Active NPI

Tomasz Podobinski, DO

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1467867382
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036.146710 Issued in IL
Practice address
1634 W Polk St
Chicago, IL 60612-4352
Phone
(224) 360-0970
NPI assigned
Jun 30, 2014
Last updated
Oct 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036.146710 IL Primary

Addresses

Primary practice location

1634 W Polk St
Chicago, IL 60612-4352

Mailing address

675 Grove Dr Apt 114
Buffalo Grove, IL 60089-4039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204000877 IL Practitioner - Physical Medicine and Rehabilitation 4981948866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036.146710ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC CurrentSince Aug 1, 2021 Accepting new patients
KND Development 59, LLC CurrentSince Aug 1, 2021 Accepting new patients
KND Development 59 LLC Current Accepting new patients

Locations

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

365 E North Ave
Northlake, IL 60164
Phone (517) 273-1540

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1467867382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 GROVE DR APT 114",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 W POLK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124352",
            "telephone_number": "224-360-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODOBINSKI",
        "first_name": "TOMASZ",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036.146710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.