Organization Active NPI

Rehab Cliinic of America Inc

  • Physical Medicine & Rehabilitation Physician
  • Oak Lawn, IL
National Provider Identifier
1700130473
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
REHAB CLIINIC OF AMERICA INC
Practice address
5565 W 95TH Street
Suite 1F
Oak Lawn, IL 60453-3788
Phone
(708) 663-2111
NPI assigned
Nov 2, 2012
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Dr. Omran Ismail
Title
President
Phone
(708) 663-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

5565 W 95TH Street
Suite 1F
Oak Lawn, IL 60453-3788

Mailing address

5565 W 95TH Street
Suite 1F
Oak Lawn, IL 60453-3788

National Provider Directory

National Provider Directory

Locations

5565 W 95th St
Ste 1F
Oak Lawn, IL 60453
Phone (708) 663-2111

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1700130473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W 95TH STREET",
            "address_2": "SUITE 1F",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W 95TH STREET",
            "address_2": "SUITE 1F",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533788",
            "telephone_number": "708-663-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB CLIINIC OF AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "OMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-663-2111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.