NPIMap

Organization Active NPI

Rehabilitation Specialists of Chicago, LLC

  • Physical Medicine & Rehabilitation Physician
  • Harvey, IL
National Provider Identifier
1881763035
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036-095242 Issued in IL
Legal business name
REHABILITATION SPECIALISTS OF CHICAGO, LLC
Practice address
1 Ingalls Dr, North 2 BLDG
Harvey, IL 60426
Phone
(708) 915-4588
Fax
(708) 915-5709
NPI assigned
Nov 6, 2006
Last updated
Aug 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Dr. Michael Steven Marinko, M.D.NPI 1205905445
Title
President
Phone
(630) 323-2297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 036-095242 IL Primary

Addresses

Primary practice location

1 Ingalls Dr, North 2 BLDG
Harvey, IL 60426

Mailing address

111 N Lincoln St
Hinsdale, IL 60521-3438
Phone (630) 323-2297

National Provider Directory

National Provider Directory

Locations

1 Ingalls Dr
#2
Harvey, IL 60426
Phone (708) 915-4588

940 Maple Rd
Homewood, IL 60430
Phone (708) 799-0244

Practitioners & affiliated clinicians

Practitioners 11

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1881763035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N LINCOLN ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213438",
            "telephone_number": "630-323-2297",
            "fax_number": "630-323-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INGALLS DR, NORTH 2 BLDG",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "60426",
            "telephone_number": "708-915-4588",
            "fax_number": "708-915-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SPECIALISTS OF CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "MARINKO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-323-2297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-095242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.