NPIMap

Organization Active NPI

First Choice Medical & Rehab Center

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1639309313
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036.047521 Issued in IL
Legal business name
FIRST CHOICE MEDICAL & REHAB CENTER
Practice address
5646 W North Ave
Chicago, IL 60639-4150
Phone
(773) 385-6200
Fax
(773) 385-6222
NPI assigned
Jul 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Dr. Jacob Salomon, M.D.
Title
Owner
Phone
(773) 385-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 036.047521 IL Primary

Addresses

Primary practice location

5646 W North Ave
Chicago, IL 60639-4150

Mailing address

5646 W North Ave
Chicago, IL 60639-4150
Phone (773) 385-6200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1639309313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5646 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606394150",
            "telephone_number": "773-385-6200",
            "fax_number": "773-385-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5646 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606394150",
            "telephone_number": "773-385-6200",
            "fax_number": "773-385-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE MEDICAL & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "SALOMON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-385-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.047521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.