Occupational and Rehabailitation Medicine, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

II072967 Issued in MI

Legal business name

OCCUPATIONAL AND REHABAILITATION MEDICINE, PC

Practice address

25650 Outer Dr
Ste 500
Lincoln Park, MI 48146-2096

Phone

(313) 388-5939

Fax

(313) 388-5969

NPI assigned

Jun 8, 2006

Last updated

Feb 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ifeyinwa Ilechukwu, MD

Title

Medical Director

Phone

31333885939

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1487695920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25650 OUTER DR",
            "address_2": "STE 500",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462096",
            "telephone_number": "313-338-5939",
            "fax_number": "313-388-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25650 OUTER DR",
            "address_2": "STE 500",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462096",
            "telephone_number": "313-388-5939",
            "fax_number": "313-388-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL AND REHABAILITATION MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "ILECHUKWU",
        "authorized_official_first_name": "IFEYINWA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "31333885939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "II072967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4695533",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Hauling LLC
• Nusrat Rahman MD PC
• Oakman Medical Clinic PLLC
• Oakwood Ambulatory, LLC (Oakwood Healthcare Center - Lincoln Park)
• Oakwood Young Programs, LLC
• Chris M Olenech V, DPM
• Adaobi Onyejekwulum
• Lizbeth Orozco
• Godwin Oseh
• Otto Bock Patient Care, LLC

• Specialist in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.