NPIMap

Organization Active NPI

1925 E Rand LLC

Doing business as Rand Medical Center

  • Multi-Specialty Clinic/Center
  • Arlington Heights, IL
National Provider Identifier
1861816571
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
1925 E RAND LLC
Doing business as
Rand Medical Center
Practice address
1925 E Rand Rd
Arlington Heights, IL 60004-4366
Phone
(224) 735-3522
Fax
(224) 735-3526
NPI assigned
Feb 17, 2014
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Eman Ibrahim
Title
Administrator
Phone
(224) 735-3522

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Ambulatory Surgical Clinic/Center 261QA1903X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1925 E Rand Rd
Arlington Heights, IL 60004-4366

Mailing address

1925 E Rand Rd
Arlington Heights, IL 60004-4366
Phone (224) 735-3522

Other names 1

  • RAND MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230203001418 IL Part B Supplier - Clinic/Group Practice 2567834377 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL; Chicago, IL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

6413 N Kinzua Ave
Chicago, IL 60646
Phone (773) 763-1212

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Essence Medspa and Wellness CenterChicago, IL, CCN 147727 Home health agency 5% Or Greater Indirect Ownership Interest (50%) May 21, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1861816571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E RAND RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044366",
            "telephone_number": "224-735-3522",
            "fax_number": "224-735-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E RAND RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044366",
            "telephone_number": "224-735-3522",
            "fax_number": "224-735-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1925 E RAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "EMAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "224-735-3522"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAND MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.