NPIMap

Organization Active NPI

Excel Occupational Health Clinic S.C.

  • Physical Medicine & Rehabilitation Physician
  • Bedford Park, IL
National Provider Identifier
1902909906
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
060-007992 Issued in IL
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
Last updated
Dec 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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.NPI 1568575652
Title
Facility Medical Director
Phone
(708) 924-8000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.