Active NPI
Rehab Services Ytk, S.C.
- Emergency Medicine Physician
- Chicago, IL
National Provider Identifier
1639403207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036113084
- Legal business name
- REHAB SERVICES YTK, S.C.
- Practice address
- 9501 S Dorchester Ave
Chicago, IL 60628-1720 - Phone
- (773) 978-3333
- Fax
- (773) 978-3005
- NPI assigned
- Sep 29, 2009
- 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
- Mr. Matthew Ajluni, D.O.
- Title
- President
- Phone
- (773) 463-1313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036113084 | IL | Primary |
Addresses
Primary practice location
9501 S Dorchester Ave
Chicago, IL 60628-1720
Mailing address
3553 W Peterson Ave
Suite 300
Chicago, IL 60659-3200
Phone (773) 463-1313
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254182400000",
"number": "1639403207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3553 W PETERSON AVE",
"address_2": "SUITE 300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593200",
"telephone_number": "773-463-1313",
"fax_number": "773-978-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 S DORCHESTER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606281720",
"telephone_number": "773-978-3333",
"fax_number": "773-978-3005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB SERVICES YTK, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-29",
"last_updated": "2009-09-29",
"status": "A",
"authorized_official_last_name": "AJLUNI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-463-1313",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036113084",
"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 Sep 29, 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.