NPIMap

Organization Active NPI

Mid America Rehabilitation Consultants Inc

  • Chiropractor
  • Zion, IL
National Provider Identifier
1700839701
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
042618331 Issued in IL
Legal business name
MID AMERICA REHABILITATION CONSULTANTS INC
Doing business as
MID AMERICA MEDICAL & DIAGNOSTIC
Practice address
2640 Sheridan Rd
Zion, IL 60099-2615
Phone
(847) 731-6727
Fax
(847) 731-6739
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Aleksey Polyakov, D.C.
Title
President
Phone
(847) 731-6727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 042618331 IL Primary

Addresses

Primary practice location

2640 Sheridan Rd
Zion, IL 60099-2615

Mailing address

2640 Sheridan Rd
Zion, IL 60099-2615
Phone (847) 731-6727

Other names 1

  • MID AMERICA MEDICAL & DIAGNOSTIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1700839701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 SHERIDAN RD",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992615",
            "telephone_number": "847-731-6727",
            "fax_number": "847-731-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 SHERIDAN RD",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992615",
            "telephone_number": "847-731-6727",
            "fax_number": "847-731-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA REHABILITATION CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "POLYAKOV",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-731-6727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042618331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID AMERICA MEDICAL & DIAGNOSTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.