North Lake Therapy & Rehab Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NORTH LAKE THERAPY & REHAB INC

Practice address

213 N Lake St
Aurora, IL 60506-4682

Phone

(708) 425-3135

NPI assigned

May 16, 2019

Organization subpart

No

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

Authorized official

Name

Saoud Dabbah, DC

Title

Owner

Phone

(847) 219-2723

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1518523307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064682",
            "telephone_number": "708-425-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAKE THERAPY & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "DABBAH",
        "authorized_official_first_name": "SAOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-219-2723",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Taylor Nordstrom
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• Lolita Lajoyce Norris
• Jeanne Elizabeth Norsworthy, NBC-HWC
• Northwest Podiatry Center
• Kelly Marie Norton, LCSW,
• Nicholas Norton, ATC, LAT
• Not 2 Little 2 Talk
• Paul Nottoli, D.C.

• Physical Therapist in Aurora, IL
• Providers in Aurora, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.