NPIMap

Organization Active NPI

Medical Services Ric

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1659306587
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MEDICAL SERVICES RIC
Practice address
355 E. Erie St.
Chicago, IL 60611
Phone
(312) 238-1000
NPI assigned
Jul 11, 2006
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Jonathan Tingstad
Title
Sr. VP and Chief Financial Officer
Phone
(312) 238-1000

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU
Internal Medicine Physician 207R00000X NU
Neurological Surgery Physician 207T00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Pediatrics Physician 208000000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU Primary
Plastic Surgery Physician 208200000X NU
Neurology Physician 2084N0400X NU
Psychiatry Physician 2084P0800X NU
Surgery Physician 208600000X NU
Pain Medicine Physician 208VP0000X NU
Interventional Pain Medicine Physician 208VP0014X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

355 E. Erie St.
Chicago, IL 60611

Mailing address

355 E. Erie St
Chicago, IL 60611-2654
Phone (312) 238-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RIC@direct.ric.org Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040106000335 IL Part B Supplier - Clinic/Group Practice 4880598978 Receives reassigned benefits from 148 practitioners
Practice locations: Elk Grove Village, IL; Wheeling, IL; Glenview, IL; Harvey, IL; Herrin, IL; Hinsdale, IL; Hoffman Estates, IL; Homewood, IL…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3215 N Wilke Rd
Arlington Heights, IL 60004
Phone (847) 215-9977

Dept 4569
Carol Stream, IL 60122

1030 N Clark St
Chicago, IL 60610
Phone (312) 238-7767

2515 N Clark St
Chicago, IL 60614
Phone (312) 227-6010

2757 Solution Ctr
Chicago, IL 60677

307 W Grand Ave
Chicago, IL 60654
Phone (312) 238-6850

345 E Superior St
Fl 12
Chicago, IL 60611
Phone (312) 238-1398

345 E Superior St
Fl 13
Chicago, IL 60611

36912 Eagle Way
Chicago, IL 60678

980 N Michigan Ave
Ste 800
Chicago, IL 60611
Phone (312) 238-7800

1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361

3224 S Park Ave
Herrin, IL 62948
Phone (618) 351-4980

1055 175th St
Ste 101
Homewood, IL 60430
Phone (312) 238-2160

19260 Halsted St
Homewood, IL 60430
Phone (312) 238-2160

1200 Maple Rd
#6120A
Joliet, IL 60432
Phone (815) 740-5973

1S260 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 953-6600

420 Thatcher Ave
River Forest, IL 60305
Phone (708) 427-3650

347 W Golf Rd
Schaumburg, IL 60195
Phone (847) 252-8810

Practitioners & affiliated clinicians

Practitioners 186

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.

View all 186

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1659306587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E. ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112654",
            "telephone_number": "312-238-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E. ERIE ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-238-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES RIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "TINGSTAD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "SR. VP AND CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "312-238-1000"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RIC@direct.ric.org",
            "affiliation": "N",
            "endpointDescription": "Shirley Ryan AbilityLab",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "referrals",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "xml",
            "address_1": "355 E. Erie St.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.