NPIMap

Organization Active NPI

Illinois Physical Medicine Group SC

  • Chiropractor
  • Oakbrook Terrace, IL
National Provider Identifier
1811128556
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ILLINOIS PHYSICAL MEDICINE GROUP SC
Practice address
17W697 Butterfield Rd
Suite B
Oakbrook Terrace, IL 60181-4042
Phone
(630) 873-2168
Fax
(630) 873-2186
NPI assigned
Jul 29, 2009
Last updated
Apr 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Dr. Salman Khan, DC
Title
Vice President
Phone
(630) 873-2168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

17W697 Butterfield Rd
Suite B
Oakbrook Terrace, IL 60181-4042

Mailing address

17W697 Butterfield Rd
Suite B
Oakbrook Terrace, IL 60181-4042

National Provider Directory

National Provider Directory

Locations

17W697 Butterfield Rd
Oakbrook Terrace, IL 60181
Phone (630) 351-0775

17W697 Butterfield Rd
Ste B
Oakbrook Terrace, IL 60181
Phone (630) 605-7424

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1811128556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W697 BUTTERFIELD RD",
            "address_2": "SUITE B",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W697 BUTTERFIELD RD",
            "address_2": "SUITE B",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814042",
            "telephone_number": "630-873-2168",
            "fax_number": "630-873-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS PHYSICAL MEDICINE GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SALMAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "630-873-2168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.