NPIMap

Organization Active NPI

87TH Street Rehab Clinic LLC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1538633441
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
87TH STREET REHAB CLINIC LLC
Practice address
1111 E 87TH St Ste 900B
Chicago, IL 60619-7063
Phone
(708) 452-6842
Fax
(708) 452-1444
NPI assigned
Jan 14, 2019
Last updated
Jan 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Dr. Manish Pandya, DCNPI 1467498022
Title
Owner/Manager
Phone
(630) 965-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1111 E 87TH St Ste 900B
Chicago, IL 60619-7063

Mailing address

1111 E 87TH St Ste 900B
Chicago, IL 60619-7063
Phone (708) 452-6842

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1538633441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E 87TH ST STE 900B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197063",
            "telephone_number": "708-452-6842",
            "fax_number": "708-452-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E 87TH ST STE 900B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197063",
            "telephone_number": "708-452-6842",
            "fax_number": "708-452-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "87TH STREET REHAB CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "630-965-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.