Tricare Medical Group of Midwest

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

036094039 Issued in IL

Legal business name

TRICARE MEDICAL GROUP OF MIDWEST

Practice address

3535 E New York Street
Suite 119
Aurora, IL 60504-4427

Phone

(630) 499-1900

Fax

(630) 499-1903

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sifatur R Sayeed, M.D.

Title

President

Phone

(630) 499-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Curewell Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1790043750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 E NEW YORK STREET",
            "address_2": "SUITE 121",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044427",
            "telephone_number": "630-499-1900",
            "fax_number": "630-499-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E NEW YORK STREET",
            "address_2": "SUITE 119",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044427",
            "telephone_number": "630-499-1900",
            "fax_number": "630-499-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE MEDICAL GROUP OF MIDWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "SAYEED",
        "authorized_official_first_name": "SIFATUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-499-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "036094039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094039",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curewell Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Treasure Home Care
• Treasure Home Care
• Treasure Home Care Inc.
• Reyna Trevino, M.D.
• Tri-County Radiation Oncology LLC
• Tricare Medical Group of Midwest Inc.
• Lynetta Trice-Bickham, APRN FNP-BC
• Trichinapally S Neelakantam MD S C
• Joleann Aleana Trine
• Karigna Trinidad

• Physical Therapy Clinic/Center in Aurora, IL
• Providers in Aurora, 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 Oct 19, 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.