Active NPI
Medcare, Inc.
- Physical Therapist
- Chicago, IL
National Provider Identifier
1831588805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 70006734
- Legal business name
- MEDCARE, INC.
- Practice address
- 6844 W Archer Ave
Physical Therapy
Chicago, IL 60638-2312 - Phone
- (708) 793-8400
- NPI assigned
- Jan 14, 2015
- 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
- Dr. B. Kabbani, DPT
- Title
- Administrator
- Phone
- (847) 724-7600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 70006734 | IL | Primary |
Addresses
Primary practice location
6844 W Archer Ave
Physical Therapy
Chicago, IL 60638-2312
Mailing address
1873 Waukegan Rd
Glenview, IL 60025-2158
Phone (847) 724-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209349 | Other | IL | MEDICARE |
National Provider Directory
National Provider Directory- Tax ID family
- Medcare Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Glenview, IL
- NPI 1063629699
-
- Physical Therapist
- Melrose Park, IL
- NPI 1477942449
Locations
6844 W Archer Ave
Chicago, IL 60638
Phone (708) 793-8400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421193600000",
"number": "1831588805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1873 WAUKEGAN RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600252158",
"telephone_number": "847-724-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6844 W ARCHER AVE",
"address_2": "PHYSICAL THERAPY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606382312",
"telephone_number": "708-793-8400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-14",
"last_updated": "2015-01-14",
"status": "A",
"authorized_official_last_name": "KABBANI",
"authorized_official_first_name": "B.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "847-724-7600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": "70006734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "209349",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.