Organization Active NPI

Telerehab Inc

  • Mechanotherapist
  • Chicago, IL
National Provider Identifier
1871033258
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
070022020 Issued in IL
Legal business name
TELEREHAB INC
Practice address
5325 W Belmont Ave
Chicago, IL 60641-4104
Phone
(773) 283-5700
NPI assigned
Mar 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Mr. Grzegorz Krawczyk, D.P.T.
Title
Owner
Phone
(312) 927-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 172M00000X 070022020 IL Primary

Addresses

Primary practice location

5325 W Belmont Ave
Chicago, IL 60641-4104

Mailing address

2331 N Sayre Ave
Apt 2D
Chicago, IL 60707-2943

National Provider Directory

National Provider Directory

Locations

5325 W Belmont Ave
Chicago, IL 60641
Phone (773) 283-5700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1871033258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 N SAYRE AVE",
            "address_2": "APT 2D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414104",
            "telephone_number": "773-283-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEREHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "KRAWCZYK",
        "authorized_official_first_name": "GRZEGORZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-927-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "IL",
            "license": "070022020",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 3, 2017; 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.