Active NPI
Chicago PT Management, Inc.
- Rehabilitation Clinic/Center
- Skokie, IL
National Provider Identifier
1518174705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216447 | Other | IL | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Oak Park, IL
- NPI 1134328024
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
- Chicago Cognitive Behavioral Treatment Center
- Chicago Counseling Group, LLC
- Chicago Family Therapy Center
- Chicago Home Physicians Inc
- Chicago Northshore Psychologists, Inc.
- Chicago Speech Steps
- Chicago Womens Health Practitioner, LLC
- Tanya Treasa Chirayil, FNP-BC
- Irena Chizhik, M.D.
- Kathleen Anne Cho, PHARM D
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.