Active NPI
Midwest Physical Medicine & Rehab P C
- Chiropractor
- Glendale Heights, IL
National Provider Identifier
1528257656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009462
- Legal business name
- MIDWEST PHYSICAL MEDICINE & REHAB P C
- Practice address
- 209 E. Army Trail Rd
Glendale Heights, IL 60139 - Phone
- (630) 671-0555
- NPI assigned
- Oct 15, 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
- Dr. Tahseen M Moinuddin, D.C
- Title
- Clinic Director
- Phone
- (630) 671-0555
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009462 | IL | Primary |
Addresses
Primary practice location
209 E. Army Trail Rd
Glendale Heights, IL 60139
Mailing address
209 E Army Trail Rd
Glendale Heights, IL 60139-1758
Phone (630) 671-0558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038009462 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
209 E Army Trail Rd
Glendale Heights, IL 60139
Phone (630) 671-0555
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Glendale Heights, IL
- NPI 1710916242
-
- Family Nurse Practitioner
- Buffalo Grove, IL
- NPI 1619529138
-
- Chiropractor
- Carol Stream, IL
- NPI 1871599266
-
- Chiropractor
- Chicago, IL
- NPI 1972525905
-
- Rehabilitation Chiropractor
- Glendale Heights, IL
- NPI 1649354291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772755200000",
"number": "1528257656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E ARMY TRAIL RD",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601391758",
"telephone_number": "630-671-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E. ARMY TRAIL RD",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "60139",
"telephone_number": "630-671-0555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST PHYSICAL MEDICINE & REHAB P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-15",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A",
"authorized_official_last_name": "MOINUDDIN",
"authorized_official_first_name": "TAHSEEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "630-671-0555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038009462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038009462",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.