Integrative Rehabmedicine SC
Organization Active NPI Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician · Rockford, IL
NPI 1902014285 · NPPES record last updated Apr 30, 2018
Key facts
- NPI
- 1902014285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X
- License
- 036-110166 (IL)
- Legal business name
- INTEGRATIVE REHABMEDICINE SC
- Practice address
- 345 Executive Pkwy Ste M4
Rockford, IL 61107-5291 - Phone
- (815) 381-8514
- NPI assigned
- May 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ricardo Alfonzo Knight, MD, MBA
- Title
- President
- Phone
- (630) 873-5425
Practitioners 35
-
Paula Ann Wenk Cahill, ANP-BC
-
Orlandra Caldwell, FNP
-
Deeann M Sternhagen, FNP, RN BC
-
Melissa Arocho, APNP
-
Ricardo Alfonzo Knight, M.D., MBA
-
Minal V Patel, P.A.
-
Nicole Van Maren, NP
-
Andrew N Vo, MD
-
Jennifer K Barham, ANP-BC
-
Samara Crudup, M.D.
-
Emil Guintu, PT
-
Anjum Khan, MD
-
Michelle Mewes, MSN, APRN, FNP-BC
-
Nita Patel, OT
-
Jennifer Lynn Walsh, ANP-C
-
Bridgette C Ramseur, NURSE PRACTITIONER
-
Lisa Marie Edwards, MOTR/L, BSRS
-
Scott Jones, PT
-
Wenchita D. Alforque, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070522000532 | IL | Part B Supplier - Clinic/Group Practice | 8022115252 |
Receives reassigned benefits from 17 practitioners Practice locations: Rockford, IL; Rolling Meadows, IL; Prospect Heights, IL; Palatine, IL; Sterling, IL; Sycamore, IL; McHenry, IL; Olympia Fields, IL… |
| O20180213001665 | WI | Part B Supplier - Clinic/Group Practice | 8022115252 |
Receives reassigned benefits from 6 practitioners Practice locations: Madison, WI; Milwaukee, WI |
National Provider Directory
Locations
1700 W Central Rd
Ste 40
Arlington Hts, IL 60005
Phone (847) 305-1954
550 America Ct
Lake Zurich, IL 60047
Phone (847) 307-6990
1055 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4559
130 S Main St
Ste 206
Lombard, IL 60148
Phone (630) 424-9877
202 N Show Place Dr
Unit 101
Rockford, IL 61107
Phone (815) 332-3700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician |
2081H0002X | 036-110166 | IL | Yes |
Addresses
Primary practice location
345 Executive Pkwy Ste M4
Rockford, IL 61107-5291
Mailing address
345 Executive Pkwy Ste M4
Rockford, IL 61107-5291
Phone (815) 381-8514
Other names
- Medlux Rehab & Wellness
Other providers in Rockford, IL
- Integrative Family Healthcare
- Integrative Healing Center, LLC
- Integrative Medical Associates of Rockford, LLC
- Integrative Medical of Rockford
- Integrative Rehabilitation Center, SC
- Nolan Jacob Interial
- International Dental Center
- Interventional Pain Management of Northern Illinois
- Ashlee Inthaluexay-Cape
- Sarah Iqbal
All providers in Rockford, IL · Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.