Organization Active NPI

Chicago PT Management, Inc.

  • Rehabilitation Clinic/Center
  • Skokie, IL
National Provider Identifier
1518174705
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CHICAGO PT MANAGEMENT, INC.
Practice address
8019 Lincoln Ave
Skokie, IL 60077-3611
Phone
(773) 490-0151
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Khaled P Oweimrin, PT
Title
President
Phone
(773) 490-0151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 070010227 IL
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

8019 Lincoln Ave
Skokie, IL 60077-3611

Mailing address

800 E Northwest Hwy Ste 103
Mount Prospect, IL 60056-3457
Phone (847) 227-8400

Other identifiers 1

IdentifierTypeStateIssuer
216447OtherILMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

3415 W Peterson Ave
Chicago, IL 60659
Phone (773) 866-1750

3633 W Lake Ave
Ste 303
Glenview, IL 60026
Phone (224) 432-5803

800 E Northwest Hwy
Ste 103
Mt Prospect, IL 60056

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1518174705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 103",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563457",
            "telephone_number": "847-227-8400",
            "fax_number": "847-239-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773611",
            "telephone_number": "773-490-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PT MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "OWEIMRIN",
        "authorized_official_first_name": "KHALED",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-490-0151",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070010227",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "216447",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.