Active NPI
Trio Health Medical Il Physiatry Partners SC
- Physical Medicine & Rehabilitation Physician
- Evanston, IL
National Provider Identifier
1811764178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- TRIO HEALTH MEDICAL IL PHYSIATRY PARTNERS SC
- Practice address
- 2201 Main St
Evanston, IL 60202-1519 - Phone
- (224) 777-8045
- NPI assigned
- Dec 7, 2023
- 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
- Benjamin Garden, MD
- Title
- President
- Phone
- (773) 451-6215
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
2201 Main St
Evanston, IL 60202-1519
Mailing address
415 W Golf Rd Ste 26
Arlington Heights, IL 60005-3923
Phone (224) 777-8045
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1811764178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W GOLF RD STE 26",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053923",
"telephone_number": "224-777-8045",
"fax_number": "224-633-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 MAIN ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021519",
"telephone_number": "224-777-8045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIO HEALTH MEDICAL IL PHYSIATRY PARTNERS SC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "GARDEN",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-451-6215",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.