Universal Healthcare PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

060007869 Issued in IL

Legal business name

UNIVERSAL HEALTHCARE PC

Practice address

2651 N Laramie Ave
Chicago, IL 60639-1613

Phone

(773) 745-0391

Fax

(773) 745-3506

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jack Chodzen, PT

Title

Owner

Phone

(773) 745-0391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1740408970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 N LARAMIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391613",
            "telephone_number": "773-745-0391",
            "fax_number": "773-745-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 N LARAMIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391613",
            "telephone_number": "773-745-0391",
            "fax_number": "773-745-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "CHODZEN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-745-0391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "060007869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Universal Medical Care

• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.