Active NPI
Equinox Medical and Pain Management Center
- Physical Medicine & Rehabilitation Physician
- Niles, IL
National Provider Identifier
1831434430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036-108386
- Legal business name
- EQUINOX MEDICAL AND PAIN MANAGEMENT CENTER
- Practice address
- 7900 N Milwaukee Ave Ste 2-29
Niles, IL 60714-3237 - Phone
- (708) 705-7109
- Fax
- (708) 788-1942
- NPI assigned
- Dec 7, 2012
- 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
- Mr. Paul Rohacek
- Title
- Executive Manager
- Phone
- (708) 705-7109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036-108386 | IL | Primary |
Addresses
Primary practice location
7900 N Milwaukee Ave Ste 2-29
Niles, IL 60714-3237
Mailing address
7900 N Milwaukee Ave Ste 2-29
Niles, IL 60714-3237
Phone (708) 705-7109
National Provider Directory
National Provider DirectoryLocations
7900 N Milwaukee Ave
Ste 2
Niles, IL 60714
Phone (847) 967-9430
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Mt Prospect, IL
- NPI 1205059490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354838400000",
"number": "1831434430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 N MILWAUKEE AVE STE 2-29",
"city": "NILES",
"state": "IL",
"postal_code": "607143237",
"telephone_number": "708-705-7109",
"fax_number": "708-788-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 N MILWAUKEE AVE STE 2-29",
"city": "NILES",
"state": "IL",
"postal_code": "607143237",
"telephone_number": "708-705-7109",
"fax_number": "708-788-1942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUINOX MEDICAL AND PAIN MANAGEMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-07",
"last_updated": "2012-12-07",
"status": "A",
"authorized_official_last_name": "ROHACEK",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "EXECUTIVE MANAGER",
"authorized_official_telephone_number": "708-705-7109",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036-108386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.