South Chicago Physicial Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTH CHICAGO PHYSICIAL MEDICINE

Practice address

11003 S Kedzie Ave
Chicago, IL 60655-2221

Phone

(773) 350-1763

NPI assigned

Jun 17, 2014

Last updated

Jun 17, 2014By 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

Dr. Thomas P Toulios, DCNPI 1952465957

Title

Medical Director

Phone

(773) 350-1763

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Thomas P. Toulios, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1952465957
  NPD (past) Authorized official

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1902210008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552221",
            "telephone_number": "773-350-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552221",
            "telephone_number": "773-350-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CHICAGO PHYSICIAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "TOULIOS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-350-1763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN/MEDICARE",
            "identifier": "F400120638",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Central Community Services, Inc.
• South Chicago Foot & Ankle Center, LTD
• South Chicago Lab Limited
• South Chicago Orthopedic Specialists, SC
• South Chicago Parents and Friends, Inc.
• South Chicago Sleep Lab, Inc.
• South Chicago SLF, LLC
• South Haven Behavioral Modification II Inc
• South Lake Medical Services, LTD
• South Loop Endoscopy and Wellness Center LLC

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.