Illinois Spinal & Sports Rehabilitation Sc in Naperville - Chiropractor
Illinois Spinal & Sports Rehabilitation Sc - NPI 1275651242
Illinois Spinal & Sports Rehabilitation Sc is a Chiropractor in Naperville, Illinois. Illinois Spinal & Sports Rehabilitation Sc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Illinois Spinal & Sports Rehabilitation Sc is 1275651242. The last update date is 2011-03-01.
Illinois Spinal & Sports Rehabilitation Sc's current location address is 4015 Plainfield Naperville Rd, Naperville, Illinois. You can contact this provider via phone number 6309049700 and fax number 6309049713. The mailing address for Illinois Spinal & Sports Rehabilitation Sc is 4015 Plainfield Naperville Rd, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Spinal & Sports Rehabilitation Sc |
|---|---|
| Address | 4015 Plainfield Naperville Rd, Naperville, Illinois |
| Phone Number | 6309049700 |
| Fax Number | 6309049713 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Lukosus J Eric |
| Credentials | D.C. |
| Telephone Number | 6309049700 |
NPI Number Detail
| NPI Number | 1275651242 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2011-03-01 |
Provider Mailing Address Detail
| Address | 4015 Plainfield Naperville Rd |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605644136 |
| Phone Number | 6309049700 |
| Fax Number | 6309049713 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38008240 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1992774277 | IL | INDIVIDUAL NPI | |
| 9932170 | IL | BLUE CROSS BLUE SHIELD | |
| 1427196583 | IL | INDIVIDUAL NPI | |
| 7553267 | IL | AETNA ID |
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What is the unique identification code assigned to Illinois Spinal & Sports Rehabilitation Sc by the Centers for Medicare & Medicaid Services?
The Illinois Spinal & Sports Rehabilitation Sc has been issued the NPI (National Provider Identifier) 1275651242. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Illinois Spinal & Sports Rehabilitation Sc?
The Illinois Spinal & Sports Rehabilitation Sc is situated at 4015 Plainfield Naperville Rd, in the city of Naperville, state of IL, with the zip code 605644136.
What is the Illinois Spinal & Sports Rehabilitation Sc's specialty and taxonomy code?
The Illinois Spinal & Sports Rehabilitation Sc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275651242 to Illinois Spinal & Sports Rehabilitation Sc?
The Illinois Spinal & Sports Rehabilitation Sc received its 1275651242 assignment from the Centers for Medicare & Medicaid Services on 2007-03-27.
As of what date were the Illinois Spinal & Sports Rehabilitation Sc's details last updated?
The information pertaining to the Illinois Spinal & Sports Rehabilitation Sc, including its address, specialty, and other details, was most recently updated on 2011-03-01.