Individual provider Active NPI

John Nestle Eslofor Galan

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1467921080
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022730 Issued in IL
Practice address
5752 N Austin Ave # 2N
Chicago, IL 60646-6231
Phone
(708) 274-6193
NPI assigned
Nov 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 070022730 IL
Physical Therapist 225100000X
Physical Therapist 225100000X 070022730 IL Primary

Addresses

Primary practice location

5752 N Austin Ave # 2N
Chicago, IL 60646-6231

Mailing address

5752 N Austin Ave # 2N
Chicago, IL 60646-6231
Phone (708) 274-6193

Other practice location 1

5752 N Austin Ave # 2N
Chicago, IL 60646-6231
Phone (708) 274-6193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070022730ILMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1467921080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5752 N AUSTIN AVE # 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466231",
            "telephone_number": "708-274-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5752 N AUSTIN AVE # 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466231",
            "telephone_number": "708-274-6193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5752 N Austin Ave # 2N",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606466231",
            "country_code": "US",
            "telephone_number": "708-274-6193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALAN",
        "first_name": "JOHN NESTLE",
        "middle_name": "ESLOFOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070022730",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.