Active NPI
Early Rehab Services Inc
- Speech-Language Pathologist
- New Lenox, IL
National Provider Identifier
1720209141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- EARLY REHAB SERVICES INC
- Practice address
- 707 Westwind Dr
New Lenox, IL 60451-9219 - Phone
- (708) 743-8801
- NPI assigned
- May 2, 2007
- Last updated
- Oct 21, 2010
- 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
- Mr. Santoshkumar Mundada
- Title
- Secretary
- Phone
- (708) 743-8801
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
707 Westwind Dr
New Lenox, IL 60451-9219
Mailing address
801 S Wilmette Ave
Westmont, IL 60559-8624
Phone (708) 743-8801
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Speech-Language Pathologist
- Chicago, IL
- NPI 1154395093
-
- Developmental Therapist
- Westmont, IL
- NPI 1255618062
-
- Speech-Language Pathologist
- Westmont, IL
- NPI 1184931784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287619200000",
"number": "1720209141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S WILMETTE AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605598624",
"telephone_number": "708-743-8801",
"fax_number": "815-572-5174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 WESTWIND DR",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604519219",
"telephone_number": "708-743-8801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EARLY REHAB SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2010-10-21",
"status": "A",
"authorized_official_last_name": "MUNDADA",
"authorized_official_first_name": "SANTOSHKUMAR",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "708-743-8801",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.