Physical Medicine Associates Sc
NPI 1477546935 · Family Medicine Physician · Geneva, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1477546935
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Taryn Hall, Om(630) 450-2088
- License
- 042617710 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Chiropractic Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2745 Maple Ave Ste 2dLisle, IL 60532-3231Phone: (630) 428-4300Fax: (630) 428-4305
Registry dates
- Enumerated
- 2005-08-30
- Last updated
- 2022-05-19
- Certified
- 2022-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.