Midwest Rehabilitation Associates LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MIDWEST REHABILITATION ASSOCIATES LLC

Practice address

2400 Glenwood Ave
Suite 120
Joliet, IL 60435-5474

Phone

(815) 741-2201

Fax

(815) 741-2285

NPI assigned

Jul 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frances Gulotta Deppe, MDNPI 1942215223

Title

Executive

Phone

(815) 741-2201

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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.

• Frances Gulotta Deppe, MD

  • Physical Medicine & Rehabilitation Physician
  • Joliet, IL
  • NPI 1942215223
  Authorized official Same address or phone
• Sung Chul Ahn, DO

  • Physical Medicine & Rehabilitation Physician
  • Joliet, IL
  • NPI 1790759835
  NPD (past)
• Danielle Elizabeth Kwong, PA-C

  • Medical Physician Assistant
  • Joliet, IL
  • NPI 1396855565
  NPD (past)
• Santosh Lal, MD

  • Physical Medicine & Rehabilitation Physician
  • Melrose Park, IL
  • NPI 1134151400
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750396586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3997",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343997",
            "telephone_number": "815-741-2201",
            "fax_number": "815-741-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GLENWOOD AVE",
            "address_2": "SUITE 120",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355474",
            "telephone_number": "815-741-2201",
            "fax_number": "815-741-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST REHABILITATION ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEPPE",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "GULOTTA",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "815-741-2201",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "09932105",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DA5166",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Midwest Physician Group LTD
• Midwest Respiratory, LTD.
• Midwest Surgery and Oncology Consultants LLC
• Ankur Miglani, PHARM D
• George E Miguel, M.D.
• Peter Mihalakakos, M.D.

• Physical Medicine & Rehabilitation Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.