M & R Rudra Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009513 Issued in IL

Legal business name

M & R RUDRA INCORPORATED

Practice address

4111 W 26TH St
Ste 110
Chicago, IL 60623-4313

Phone

(773) 542-1111

Fax

(773) 542-7100

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Manish D Pandya, DC

Title

President

Phone

(630) 965-2225

Specialties & licenses 1

Addresses

Other names 1

• New Life Medical Center Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mehdi Bassiratpour, MD

  • General Practice Physician
  • Glen Ellyn, IL
  • NPI 1356384598
  NPD (past)
• Dariusz Bialon, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1447526678
  NPD (past)
• Brett Kellett Allan Sr., DC

  • Chiropractor
  • San Diego, CA
  • NPI 1689747305
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1831372044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 W 26TH ST",
            "address_2": "STE 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234313",
            "telephone_number": "773-542-1111",
            "fax_number": "773-542-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 W 26TH ST",
            "address_2": "STE 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234313",
            "telephone_number": "773-542-1111",
            "fax_number": "773-542-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & R RUDRA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-965-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• M & D Home Health Care, Inc.
• M & F Medical Services, LTD
• M & Z Rehabilitation Inc
• M a C Care Transportation LLC
• M C Bilingual Services, Inc.
• M Chavez MD SC
• M D Aesthetics and Dermatology LLC

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.