Covenant Physiatry,SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036110423 Issued in IL

Legal business name

COVENANT PHYSIATRY,SC

Practice address

1590 W Algonquin Rd
Suite 167
Hoffman Estates, IL 60192-1575

Phone

(847) 852-6478

Fax

(847) 382-1646

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sandhya R Meesala, MD

Title

Physician/Owner

Phone

(847) 852-6478

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Heyer C Devarapalli, MD

  • Internal Medicine Physician
  • Arlington Heights, IL
  • NPI 1588704381
  NPD (past)
• Mariola Traba, APN

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1164060117
  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1710150453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770967",
            "telephone_number": "708-532-6029",
            "fax_number": "708-532-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 W ALGONQUIN RD",
            "address_2": "SUITE 167",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921575",
            "telephone_number": "847-852-6478",
            "fax_number": "847-382-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PHYSIATRY,SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "MEESALA",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "847-852-6478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036110423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS#",
            "identifier": "0001638924",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110423",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Cortez
• Cosmetic & Plastic Surgery Associates MD SC
• Lauren Nicole Cossentino, RBT
• Sophie Cotseones
• Erin Carol Coughlin
• Jennifer Cox, CRNA
• Tania J Coyoc, APRN,FNP-C
• Bradley Thomas Cramer, MSED, LCPC, CCMHC
• Cristina Saguil DMD PC
• Crown Home Health Services LLC

• Physical Medicine & Rehabilitation Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.