Active NPI
Kevin Li
- Physical Therapist
- Cicero, IL
National Provider Identifier
1609422377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070
- Practice address
- 6120 W Ogden Ave
Cicero, IL 60804-3743 - Phone
- (708) 863-0500
- NPI assigned
- Aug 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070 | IL | Primary |
Addresses
Primary practice location
6120 W Ogden Ave
Cicero, IL 60804-3743
Mailing address
759 Hull Ave
Westchester, IL 60154-2648
Phone (708) 407-4236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Back and Joint PLLC | Current | Accepting new patients |
Locations
640 E Saint Charles Rd
Ste 206
Carol Stream, IL 60188
Phone (630) 480-7155
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Orland Park, IL
- NPI 1750985214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566000000000",
"number": "1609422377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 HULL AVE",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601542648",
"telephone_number": "708-407-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 W OGDEN AVE",
"city": "CICERO",
"state": "IL",
"postal_code": "608043743",
"telephone_number": "708-863-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-17",
"last_updated": "2019-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.