Organization Active NPI

Fidai Medical Center S.C.

  • Physical Therapy Clinic/Center
  • Elgin, IL
National Provider Identifier
1548444540
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FIDAI MEDICAL CENTER S.C.
Practice address
1710 N Randall Road
Suite 230
Elgin, IL 60123
Phone
(847) 931-8575
Fax
(847) 931-8581
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Shazleen Shalwani
Title
Office Manager
Phone
(847) 741-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1710 N Randall Road
Suite 230
Elgin, IL 60123

Mailing address

1710 N Randall Rd
Suite 380
Elgin, IL 60123-9400
Phone (847) 741-9800

National Provider Directory

National Provider Directory

Locations

1710 N Randall Rd
Ste 230
Elgin, IL 60123
Phone (847) 931-8575

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1548444540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD",
            "address_2": "SUITE 380",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239400",
            "telephone_number": "847-741-9800",
            "fax_number": "847-741-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL ROAD",
            "address_2": "SUITE 230",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-931-8575",
            "fax_number": "847-931-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDAI MEDICAL CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "SHALWANI",
        "authorized_official_first_name": "SHAZLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-741-9800"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.