Alliance Rehab and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ALLIANCE REHAB AND WELLNESS

Practice address

611 E Mondamin St
Minooka, IL 60447-8425

Phone

(630) 965-9007

Fax

(815) 483-2374

NPI assigned

Mar 18, 2010

Last updated

Mar 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Asim M Shazzad

Title

Ceo

Phone

(630) 965-9007

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1841514965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E MONDAMIN ST",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604478425",
            "telephone_number": "630-965-9007",
            "fax_number": "815-483-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MONDAMIN ST",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604478425",
            "telephone_number": "630-965-9007",
            "fax_number": "815-483-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE REHAB AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "SHAZZAD",
        "authorized_official_first_name": "ASIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-965-9007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M Abbeduto, LCPC
• Able Chiropractic, LLC
• Ashley Adams, OTR/L
• Danielle M Adolph, DPT
• American Drug Stores LLC (Osco Drug #3730)
• Athletic & Therapeutic Institute of Bourbonnais, LLC (ATI Physical Therapy)
• Nicole Aulet
• Ruth Bass, PHARM.D.
• Rohail Isaac Bhurgri, DMD

• Physical Therapy Clinic/Center in Minooka, IL
• Providers in Minooka, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.