Immanuel Physical Rehabilitation Institute PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013396 Issued in IL

Legal business name

IMMANUEL PHYSICAL REHABILITATION INSTITUTE PC

Practice address

15 E Golf Rd Ste B
Arlington Heights, IL 60005-4014

Phone

(847) 734-9303

NPI assigned

Aug 21, 2008

Organization subpart

No

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

Authorized official

Name

Chang-Jun Yu

Title

P.T.

Phone

(847) 734-9303

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Chang Jun Yu, D.C., R.P.T

  • Chiropractor
  • Arlington Heights, IL
  • NPI 1699801175
  Medicare reassignment

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1699922583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E GOLF RD STE B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054014",
            "telephone_number": "847-734-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E GOLF RD STE B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054014",
            "telephone_number": "847-734-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUEL PHYSICAL REHABILITATION INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "CHANG-JUN",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "847-734-9303"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136987421001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zubair Ilyas, MD
• Lorna L Im, M.D.
• Jean Imburgia, OT
• Taylor Imhoff
• Immanuel Physical Rehab Institute
• Immersive Clinical Solutions LLC
• Jack Leander Imperial, BT
• Impressive Smiles
• Frank J Incardona, D.D.S.
• Infinite Butterfly Therapy Group

• Physical Therapist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.