Michael Chan, DPT
Individual provider Active NPI Physical Therapist · Elmwood Park, IL
NPI 1629647870 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1629647870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.025853 (IL)
- Practice address
- 7230 W North Ave Ste 212
Elmwood Park, IL 60707-4213 - Phone
- (708) 456-2322
- NPI assigned
- Jun 22, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rci (WRS) LLC
Practice addresses (Care Compare)
7230 W N Ave
Suite 212
Elmwood Park, IL 60707-4213
Phone (708) 456-2322
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210723000690 | IL | Practitioner - Physical Therapist in Private Practice | 3779986021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.025853 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
| Rci (WRS), LLC. | Current |
Accepting new patients | |
| Rci (WRS), LLC | Current |
Accepting new patients |
Locations
7230 W North Ave
Ste 212
Elmwood Park, IL 60707
Phone (708) 336-1964
9000 W College Pkwy
Palos Hills, IL 60465
Phone (618) 529-3201
826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.025853 | IL | Yes |
Addresses
Primary practice location
7230 W North Ave Ste 212
Elmwood Park, IL 60707-4213
Mailing address
108 Coventry CT
Naperville, IL 60565-2217
Phone (630) 649-8626
Other providers in Elmwood Park, IL
- Bright Voices Speech and Feeding Therapy PLLC
- Maritza Calderon
- Isidro Cardona
- Thomas M Caron
- Rahile Annie Caushaj
- David L Chen
- Chiropractic Family Health Clinic, LLC
- Christopher D. Frame, LLC
- Mary Kathryn Clark
- Carol Ann Collins-Watts
All providers in Elmwood Park, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.