Organization Active NPI

Illinois Injury & Rehab Centers, LTD

  • Chiropractor
  • Darien, IL
National Provider Identifier
1598053761
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007050 Issued in IL
Legal business name
ILLINOIS INJURY & REHAB CENTERS, LTD
Practice address
2841 83Rd Court
Suite 109
Darien, IL 60561
Phone
(630) 241-9200
Fax
(206) 666-4867
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Dr. Mark Cohen, DC
Title
President
Phone
(630) 241-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038007050 IL Primary

Addresses

Primary practice location

2841 83Rd Court
Suite 109
Darien, IL 60561

Mailing address

2841 83Rd Court
Suite 109
Darien, IL 60561
Phone (630) 241-9200

National Provider Directory

National Provider Directory

Locations

2841 83rd St
Ste 109
Darien, IL 60561
Phone (630) 241-9200

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1598053761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 83RD COURT",
            "address_2": "SUITE 109",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "60561",
            "telephone_number": "630-241-9200",
            "fax_number": "206-666-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 83RD COURT",
            "address_2": "SUITE 109",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "60561",
            "telephone_number": "630-241-9200",
            "fax_number": "206-666-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS INJURY & REHAB CENTERS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-241-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.