Active NPI
Therapy Providers of Illinois
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1700927571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- THERAPY PROVIDERS OF ILLINOIS
- Practice address
- 1913 W Chicago Ave
Therapy Providers of Illinois
Chicago, IL 60622 - Phone
- (312) 226-4460
- Fax
- (312) 226-1911
- NPI assigned
- Feb 12, 2007
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mubashir Ali Khan
- Title
- Chief Executive Officer
- Phone
- (708) 229-9828
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
1913 W Chicago Ave
Therapy Providers of Illinois
Chicago, IL 60622
Mailing address
3849 W 95TH Street
Therapy Providers Business Office
Evergreen Park, IL 60805
Phone (708) 229-9828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1632380 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Oak Lawn, IL
- NPI 1366516213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1700927571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3849 W 95TH STREET",
"address_2": "THERAPY PROVIDERS BUSINESS OFFICE",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "60805",
"telephone_number": "708-229-9828",
"fax_number": "708-422-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 W CHICAGO AVE",
"address_2": "THERAPY PROVIDERS OF ILLINOIS",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60622",
"telephone_number": "312-226-4460",
"fax_number": "312-226-1911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY PROVIDERS OF ILLINOIS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MUBASHIR",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "708-229-9828"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1632380",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.