Organization Active NPI

Early Rehab Services Inc

  • Speech-Language Pathologist
  • New Lenox, IL
National Provider Identifier
1720209141
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Mr. Santoshkumar MundadaNPI 1154395093
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.