Active NPI
Excel Occupational Health Clinic S.C.
- Physical Medicine & Rehabilitation Physician
- Bedford Park, IL
National Provider Identifier
1902909906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 060-007992
- Legal business name
- EXCEL OCCUPATIONAL HEALTH CLINIC S.C.
- Practice address
- 5015 W 65TH St
Bedford Park, IL 60638-5701 - Phone
- (708) 924-8000
- Fax
- (708) 924-8008
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward J Pillar, D.O.
- Title
- Facility Medical Director
- Phone
- (708) 924-8000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 060-007992 | IL | Primary |
| Physical Therapy Clinic/Center | 261QP2000X | 060-007992 | IL |
Addresses
Primary practice location
5015 W 65TH St
Bedford Park, IL 60638-5701
Mailing address
5015 W 65TH St
Bedford Park, IL 60638-5701
Phone (708) 924-8000
National Provider Directory
National Provider DirectoryLocations
5015 W 65th St
Chicago, IL 60638
Phone (708) 924-8000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Evergreen Park, IL
- NPI 1841667813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293667200000",
"number": "1902909906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5015 W 65TH ST",
"city": "BEDFORD PARK",
"state": "IL",
"postal_code": "606385701",
"telephone_number": "708-924-8000",
"fax_number": "708-924-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 W 65TH ST",
"city": "BEDFORD PARK",
"state": "IL",
"postal_code": "606385701",
"telephone_number": "708-924-8000",
"fax_number": "708-924-8008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL OCCUPATIONAL HEALTH CLINIC S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2010-12-30",
"status": "A",
"authorized_official_last_name": "PILLAR",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "FACILITY MEDICAL DIRECTOR",
"authorized_official_telephone_number": "708-924-8000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "060-007992",
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IL",
"license": "060-007992",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.