Active NPI
Fidai Medical Center S.C.
- Physical Therapy Clinic/Center
- Elgin, IL
National Provider Identifier
1548444540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Torrance, CA
- NPI 1851398218
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.