CHICAGO REGENERATIVE MEDICAL CENTER CORPORATION (NPI# 1275186033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275186033 |
| Entity Type | Organization |
| Organization Name | CHICAGO REGENERATIVE MEDICAL CENTER CORPORATION |
| Practice Address |
4149 W 26th St Chicago IL 60623-4314 |
| Practice Telephone | 8775421110 |
| Mailing Telephone | 7735622632 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | DR. VINCENT DOMINGO (CEO) |
| Authorized Official Telephone | 7735622632 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1157 Lee St, Des Plaines, IL 600166516 | 8775421110 |
| Street Address |
4149 W 26TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033198643 | Vincent Domingo | Chiropractor | 4149 W 26th St, Chicago, IL 60623-4314 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256982 | Prm of Illinois | Physical Medicine & Rehabilitation | 625 N Michigan Ave Ste 810, Chicago, IL 60611-3110 | 2020-05-15 |
| 1376007757 | Jose Angel Munoz Jr. | Physical Medicine & Rehabilitation | 5035 W Parker Ave, Chicago, IL 60639-1603 | 2019-01-30 |
| 1629315312 | Chinatown Integrated Medicine Ltd | Physical Medicine & Rehabilitation | 2134b S Archer Ave Fl 2, Chicago, IL 60616-1514 | 2013-01-15 |
| 1730236928 | Linda T Stewart | Physical Medicine & Rehabilitation | 4926 S Champlain Ave, Chicago, IL 60615-2541 | 2007-01-03 |
| 1972013530 | Armitage Orthopedics and Pain Ltd | Physical Medicine & Rehabilitation | 3055 W Armitage Ave, Chicago, IL 60647-3862 | 2017-10-09 |
| 1134541568 | Express Healthcare Inc | Physical Medicine & Rehabilitation | 1502 W Chicago Ave, Chicago, IL 60642-5236 | 2014-01-21 |
| 1386806115 | Divya Agrawal | Physical Medicine & Rehabilitation | 1611 W Harrison St Ste 400, Chicago, IL 60612 | 2008-07-02 |
| 1871752881 | Shivani Shah Batra | Physical Medicine & Rehabilitation | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2008-06-04 |
| 1154510311 | Baljinder Singh Bathla | Physical Medicine & Rehabilitation | 1550 S Indiana Ave, Suite 100, Chicago, IL 60605-2857 | 2007-10-23 |
| 1114115268 | Linda T Stewart Md | Physical Medicine & Rehabilitation | 4926 S Champlain Ave, Chicago, IL 60615-2541 | 2007-10-12 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.