OrganizationActive
Equinox Medical and Pain Management Center
NPI 1831434430 · Physical Medicine & Rehabilitation Physician · Niles, IL
Provider details
- NPI number
- 1831434430
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Rohacek, Executive Manager(708) 705-7109
- License
- 036-108386 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
7900 N Milwaukee Ave Ste 2-29
Niles, IL 60714-3237
Phone: (708) 705-7109
Fax: (708) 788-1942
Street-level locationGet directions
Mailing address
7900 N Milwaukee Ave Ste 2-29
Niles, IL 60714-3237
Registry dates
- Enumerated
- 2012-12-07
- Last updated
- 2012-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.