Prime Health Medical and Rehab LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036042276 Issued in IL

Legal business name

PRIME HEALTH MEDICAL AND REHAB LTD

Practice address

350 E Dundee Rd Ste 300
Wheeling, IL 60090-3119

Phone

(847) 243-2110

Fax

(847) 243-2118

NPI assigned

Aug 8, 2008

Last updated

Aug 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Howard N Rubin, M.D.

Title

Family Doctor

Phone

(847) 243-2110

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Maria Mae, PT

  • Contractor
  • Vernon Hills, IL
  • NPI 1275618191
  NPD (past)
• Howard Clyde Martin, MD PHD

  • General Practice Physician
  • Chicago, IL
  • NPI 1386702777
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1568618783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E DUNDEE RD STE 300",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903119",
            "telephone_number": "847-243-2110",
            "fax_number": "847-243-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E DUNDEE RD STE 300",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903119",
            "telephone_number": "847-243-2110",
            "fax_number": "847-243-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH MEDICAL AND REHAB LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FAMILY DOCTOR",
        "authorized_official_telephone_number": "847-243-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036042276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta J Polka, ED.S.
• Alexander Portnoy, DMD
• Kenneth Portnoy, O.D.
• Paul Potach, DPM
• Michael Preissing, MSW
• Nicole Marie Pronek, LPN
• John Quintero
• Radiance Physical Therapy LLC
• Ma Adelma B Ragudo, MSN, FNP
• Rahnev Physical Therapy and Wellness, PLLC

• Clinic/Center in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.