Active NPI
Suburban Medical & Rehab Clinic, LTD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- SUBURBAN MEDICAL & REHAB CLINIC, LTD
- Practice address
- 269 S Roselle Rd
Schaumburg, IL 60193-1636 - Phone
- (847) 807-5502
- Fax
- (847) 807-5508
- NPI assigned
- Oct 19, 2012
- Last updated
- Nov 29, 2012
- 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
- Dr. Aleksandr Goldvekht, M.D.
- Title
- President
- Phone
- (847) 530-9317
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
269 S Roselle Rd
Schaumburg, IL 60193-1636
Mailing address
269 S Roselle Rd
Schaumburg, IL 60193-1636
Phone (847) 807-5502
National Provider Directory
National Provider DirectoryLocations
269 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 202-7860
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Milwaukee, WI
- NPI 1700807807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354147200000",
"number": "1760735377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 S ROSELLE RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601931636",
"telephone_number": "847-807-5502",
"fax_number": "847-807-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 S ROSELLE RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601931636",
"telephone_number": "847-807-5502",
"fax_number": "847-807-5508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBURBAN MEDICAL & REHAB CLINIC, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-19",
"last_updated": "2012-11-29",
"status": "A",
"authorized_official_last_name": "GOLDVEKHT",
"authorized_official_first_name": "ALEKSANDR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-530-9317",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.