Active NPI
Selectcare Health, Inc.
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Park Ridge, IL
National Provider Identifier
1609072719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- SELECTCARE HEALTH, INC.
- Practice address
- 1480 Renaissance Dr
Suite #304
Park Ridge, IL 60068-1332 - Phone
- (847) 768-9240
- Fax
- (847) 768-9304
- NPI assigned
- Jun 25, 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
- Akash Patel
- Title
- Coo
- Phone
- (847) 489-5532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary |
Addresses
Primary practice location
1480 Renaissance Dr
Suite #304
Park Ridge, IL 60068-1332
Mailing address
1560 Sherman Ave
Suite #460
Evanston, IL 60201-4818
Phone (847) 859-1512
National Provider Directory
National Provider DirectoryLocations
1560 Sherman Ave
Ste 460
Evanston, IL 60201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609072719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 SHERMAN AVE",
"address_2": "SUITE #460",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014818",
"telephone_number": "847-859-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 RENAISSANCE DR",
"address_2": "SUITE #304",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681332",
"telephone_number": "847-768-9240",
"fax_number": "847-768-9304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECTCARE HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "AKASH",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "847-489-5532"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.