Organization Active NPI

Joncom PT,P.C.

  • Physical Therapist
  • Elmhurst, IL
National Provider Identifier
1720648876
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JONCOM PT,P.C.
Practice address
360 W Butterfield Rd Ste 150
Elmhurst, IL 60126-5099
Phone
(630) 268-1045
Fax
(630) 268-1047
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
John Comerouski, PT
Title
President
Phone
(630) 404-1045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

360 W Butterfield Rd Ste 150
Elmhurst, IL 60126-5099

Mailing address

5N425 Eagle Ter
Itasca, IL 60143-2434
Phone (630) 404-1045

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1720648876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5N425 EAGLE TER",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601432434",
            "telephone_number": "630-404-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 150",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265099",
            "telephone_number": "630-268-1045",
            "fax_number": "630-268-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONCOM PT,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "COMEROUSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-404-1045",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.