NPIMap

Organization Active NPI

Northwest Orthopedic Surgery SC

Doing business as Northwest Rehabilitation

  • Orthopaedic Surgery Physician
  • Arlington Heights, IL
National Provider Identifier
1699987974
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
42-3132 Issued in IL
Legal business name
NORTHWEST ORTHOPEDIC SURGERY SC
Doing business as
Northwest Rehabilitation
Practice address
1430 N Arlington Heights Rd
Arlington Heights, IL 60004-4830
Phone
(847) 818-3570
Fax
(847) 870-0059
NPI assigned
May 7, 2007
Organization subpart
Yes
Parent organization
NORTHWEST ORTHOPEDIC SURGERY SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Richard A Mannion, M.D.
Title
President
Phone
(847) 870-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 42-3132 IL Primary

Addresses

Primary practice location

1430 N Arlington Heights Rd
Arlington Heights, IL 60004-4830

Mailing address

1120 N Arlington Heights Rd
Arlington Heights, IL 60004-4767
Phone (847) 870-4200

Other identifiers 1

IdentifierTypeStateIssuer
01634499OtherILBCBS

Other names 1

  • Northwest Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Orthopedic Surgery SC4 organizations share this tax ID, including this one
Part of
Northwest Orthopedic Surgery SC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1699987974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044767",
            "telephone_number": "847-870-4200",
            "fax_number": "847-870-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044830",
            "telephone_number": "847-818-3570",
            "fax_number": "847-870-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ORTHOPEDIC SURGERY SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST ORTHOPEDIC SURGERY SC",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "MANNION",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-870-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "42-3132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01634499",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.