Organization Active NPI

North Glen Physical Medicine

  • Rehabilitation Chiropractor
  • Glenview, IL
National Provider Identifier
1689897829
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
NORTH GLEN PHYSICAL MEDICINE
Practice address
2420 Ravine Way
Suite 400
Glenview, IL 60025-7650
Phone
(847) 657-9877
Fax
(847) 657-9878
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Justin Tossing, D.C.
Title
Owner
Phone
(847) 657-9877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X IL Primary

Addresses

Primary practice location

2420 Ravine Way
Suite 400
Glenview, IL 60025-7650

Mailing address

2420 Ravine Way
Suite 400
Glenview, IL 60025-7650
Phone (847) 657-9877

Other identifiers 1

IdentifierTypeStateIssuer
1633284OtherILBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689897829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 RAVINE WAY",
            "address_2": "SUITE 400",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257650",
            "telephone_number": "847-657-9877",
            "fax_number": "847-657-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 RAVINE WAY",
            "address_2": "SUITE 400",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257650",
            "telephone_number": "847-657-9877",
            "fax_number": "847-657-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GLEN PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TOSSING",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-657-9877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1633284",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.