Organization Active NPI

Illiana Surgery & Medical Center, LLC

Doing business as Illiana Rehabilitation Services Schererville

  • Physical Therapy Clinic/Center
  • Schererville, IN
National Provider Identifier
1770582264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ILLIANA SURGERY & MEDICAL CENTER, LLC
Doing business as
Illiana Rehabilitation Services Schererville
Practice address
2001 US Highway 41
Schererville, IN 46375-2892
Phone
(219) 865-7986
Fax
(219) 865-7992
NPI assigned
Jul 18, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vijay Gupta, MD
Title
Ceo
Phone
(219) 922-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X IN Primary

Addresses

Primary practice location

2001 US Highway 41
Schererville, IN 46375-2892

Mailing address

701 Superior Ave
Attn: Managed Care
Munster, IN 46321-4037
Phone (219) 641-3051

Other names 1

  • Illiana Rehabilitation Services Schererville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Memorial Hospital LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770582264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SUPERIOR AVE",
            "address_2": "ATTN: MANAGED CARE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214037",
            "telephone_number": "219-641-3051",
            "fax_number": "219-641-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 US HIGHWAY 41",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752892",
            "telephone_number": "219-865-7986",
            "fax_number": "219-865-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLIANA SURGERY & MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-922-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illiana Rehabilitation Services Schererville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schererville, IN

Sources for this page

  • 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.