Active NPI
Premier Injury Management LTD
- Rehabilitation Clinic/Center
- Bolingbrook, IL
National Provider Identifier
1508505066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- PREMIER INJURY MANAGEMENT LTD
- Practice address
- 550 E Boughton Rd Ste 190
Bolingbrook, IL 60440-2188 - Phone
- (630) 972-0733
- Fax
- (630) 972-0749
- NPI assigned
- Jun 2, 2022
- Last updated
- Jun 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anatoly Gorovits
- Title
- President
- Phone
- (312) 331-0589
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
550 E Boughton Rd Ste 190
Bolingbrook, IL 60440-2188
Mailing address
550 E Boughton Rd Ste 190
Bolingbrook, IL 60440-2188
Phone (630) 972-0733
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1790760965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654128000000",
"number": "1508505066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E BOUGHTON RD STE 190",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402188",
"telephone_number": "630-972-0733",
"fax_number": "630-972-0749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E BOUGHTON RD STE 190",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402188",
"telephone_number": "630-972-0733",
"fax_number": "630-972-0749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER INJURY MANAGEMENT LTD",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A",
"authorized_official_last_name": "GOROVITS",
"authorized_official_first_name": "ANATOLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-331-0589"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
- Tamara M Poole, APN, FNP-BC
- Lori A Porter
- Power
- Precision Endodontics, P.C.
- Preferred Lab Services Inc
- Premier Medical Care, LTD (Premier Occupational Health)
- Premuim Healthcare Solutions
- Presence Healthcare Services
- Presence Service Corporation (Presence Medical Group)
- Theodora Hadzisteliou Price, PHD AEEH MSW LCSW AC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.