NPIMap

Organization Active NPI

North Suburban Medical S.C.

  • Physical Medicine & Rehabilitation Physician
  • Gurnee, IL
National Provider Identifier
1992853105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NORTH SUBURBAN MEDICAL S.C.
Practice address
1800 Nations Dr Ste 101
Gurnee, IL 60031-9169
Phone
(847) 263-0480
Fax
(847) 263-0590
NPI assigned
Jan 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Rhey, D.C.NPI 1912055062
Title
Pres.
Phone
(847) 263-0480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X IL Primary

Addresses

Primary practice location

1800 Nations Dr Ste 101
Gurnee, IL 60031-9169

Mailing address

1800 Nations Dr Ste 101
Gurnee, IL 60031-9169
Phone (847) 263-0480

Other identifiers 1

IdentifierTypeStateIssuer
04930341OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000888 IL Part B Supplier - Clinic/Group Practice 5890754311 Receives reassigned benefits from 4 practitioners
Practice locations: Gurnee, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992853105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NATIONS DR STE 101",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319169",
            "telephone_number": "847-263-0480",
            "fax_number": "847-263-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NATIONS DR STE 101",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319169",
            "telephone_number": "847-263-0480",
            "fax_number": "847-263-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN MEDICAL S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RHEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "847-263-0480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04930341",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.