Active NPI
Pacsa LLC
- Rehabilitation Practitioner
- Oak Park, IL
National Provider Identifier
1710268917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 036117839
- Legal business name
- PACSA LLC
- Practice address
- 101 Madison St Ste 300
Oak Park, IL 60302-4210 - Phone
- (708) 486-2700
- Fax
- (708) 486-2702
- NPI assigned
- Aug 31, 2011
- 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
- Dr. Renu R Mahajan, M.D.
- Title
- Owner
- Phone
- (708) 486-2700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 036117839 | IL | Primary |
Addresses
Primary practice location
101 Madison St Ste 300
Oak Park, IL 60302-4210
Mailing address
1111 Superior St
Suite 104
Melrose Park, IL 60160-4138
Phone (708) 486-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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.
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Oak Park, IL
- NPI 1932311883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750809600000",
"number": "1710268917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 SUPERIOR ST",
"address_2": "SUITE 104",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601604138",
"telephone_number": "708-486-2700",
"fax_number": "708-486-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MADISON ST STE 300",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603024210",
"telephone_number": "708-486-2700",
"fax_number": "708-486-2702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACSA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-31",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A",
"authorized_official_last_name": "MAHAJAN",
"authorized_official_first_name": "RENU",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-486-2700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": "IL",
"license": "036117839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.