Organization Active NPI

Eickert Physical Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Hoffman Estates, IL
National Provider Identifier
1497093504
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
038011653 Issued in IL
Legal business name
EICKERT PHYSICAL MEDICINE LLC
Practice address
2260 W Higgins Rd
Hoffman Estates, IL 60169-2431
Phone
(563) 212-3215
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Dr. John Eickert, D.C.
Title
Owner
Phone
(563) 212-3215

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038011653 IL
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 038011653 IL Primary

Addresses

Primary practice location

2260 W Higgins Rd
Hoffman Estates, IL 60169-2431

Mailing address

1404 Washington St
Lake in the Hills, IL 60156-1046

National Provider Directory

National Provider Directory

Locations

2260 W Higgins Rd
Hoffman Estates, IL 60169
Phone (563) 212-3215

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1497093504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 WASHINGTON ST",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 W HIGGINS RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692431",
            "telephone_number": "563-212-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EICKERT PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "EICKERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-212-3215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011653",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "038011653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.