NPIMap

Organization Active NPI

Cumberland Physical Medicine LTD

  • Chiropractor
  • Norridge, IL
National Provider Identifier
1619047834
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007471 Issued in IL
Legal business name
CUMBERLAND PHYSICAL MEDICINE LTD
Practice address
4701 North Cumberland Ave
Ste 1 3a Cumberland Physical Medicine
Norridge, IL 60706
Phone
(708) 452-4444
Fax
(708) 452-7090
NPI assigned
Nov 8, 2006
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Walter Anthony Karbowski, DCNPI 1558473587
Title
Director
Phone
(708) 452-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007471 IL Primary
Internal Medicine Physician 207R00000X 036088148 IL

Addresses

Primary practice location

4701 North Cumberland Ave
Ste 1 3a Cumberland Physical Medicine
Norridge, IL 60706

Mailing address

4701 N Cumberland Ave
Ste 1 3a
Norridge, IL 60706-2905
Phone (708) 452-4444

Other identifiers 1

IdentifierTypeStateIssuer
01633957OtherILBCBS

National Provider Directory

National Provider Directory

Locations

4701 N Cumberland Ave
Ste 1
Norridge, IL 60706
Phone (708) 452-4444

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1619047834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N CUMBERLAND AVE",
            "address_2": "STE 1 3A",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607062905",
            "telephone_number": "708-452-4444",
            "fax_number": "708-452-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 NORTH CUMBERLAND AVE",
            "address_2": "STE 1 3A CUMBERLAND PHYSICAL MEDICINE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "60706",
            "telephone_number": "708-452-4444",
            "fax_number": "708-452-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND PHYSICAL MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "KARBOWSKI",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-452-4444",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007471",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01633957",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.