COMMUNITY HEALTH & REHABILITATION SC NPI 1053404640

NPI Information

NPI: 1053404640
Provider Name: COMMUNITY HEALTH & REHABILITATION, SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D2211282

Address:
275 W HIGGINS ROAD
HOFFMAN ESTATES, IL
ZIP 60169
Phone: (847) 885-8820
Get Directions

COMMUNITY HEALTH & REHABILITATION, SC is a family medicine in Hoffman Estates, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMMUNITY HEALTH & REHABILITATION, SC NPI is 1053404640. The provider is registered as an organization entity type.

The provider's business location address is:

275 W HIGGINS ROAD
HOFFMAN ESTATES, IL
ZIP 60169
Phone: (847) 885-8820
Fax: (847) 885-9578

The provider's authorized official is Anthony J Petrone .
The authorized official title is Ceo and has the following contact phone number (847) 885-8820.

The CLIA number assigned to this NPI record is 14D2211282 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 10/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies		ILLINOIS	No
2	111NX0800X	Chiropractor	Orthopedic	042617415	ILLINOIS	No
3	208D00000X	General Practice		1679510804	ILLINOIS	No
4	363L00000X	Nurse Practitioner				No
5	207Q00000X	Family Medicine		036-103275	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1621687	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	7761619001	OTHER	ILLINOIS	CIGNA
3	6531180001	MEDICARE NSC	ILLINOIS
4	212818	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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