Sportco Rehabilitation Pc in Naperville - Chiropractor

Sportco Rehabilitation Pc - NPI 1740465723

Sportco Rehabilitation Pc is a Chiropractor in Naperville, Illinois. Sportco Rehabilitation Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Sportco Rehabilitation Pc is 1740465723. The last update date is 2012-04-02.

Sportco Rehabilitation Pc's current location address is 1995 Springbrook Square Dr., Naperville, Illinois. You can contact this provider via phone number 6309226500 and fax number 6309226502. The mailing address for Sportco Rehabilitation Pc is 1995 Springbrook Square Dr., Naperville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sportco Rehabilitation Pc
Address 1995 Springbrook Square Dr., Naperville, Illinois
Phone Number 6309226500
Fax Number 6309226502
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Glynn Mark
Credentials D.C.
Telephone Number 6309226500

NPI Number Detail

NPI Number 1740465723
Provider Enumeration Date 2008-01-08
Last Updated Date 2012-04-02

Provider Mailing Address Detail

Address 1995 Springbrook Square Dr.
City Naperville
State Illinois (IL)
Post Code 605645951
Phone Number 6309226500
Fax Number 6309226502

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 38008664
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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FAQs about Sportco Rehabilitation Pc

What is the unique 10-digit identification code issued to Sportco Rehabilitation Pc by the Centers for Medicare & Medicaid Services?

The Sportco Rehabilitation Pc has been assigned the NPI (National Provider Identifier) 1740465723 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Sportco Rehabilitation Pc is physically located?

The Sportco Rehabilitation Pc is physically situated at the following address: 1995 Springbrook Square Dr., Naperville, IL, 605645951.

What is the Sportco Rehabilitation Pc's specialty and taxonomy code?

The Sportco Rehabilitation Pc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1740465723 to Sportco Rehabilitation Pc?

The Sportco Rehabilitation Pc received its 1740465723 assignment from the Centers for Medicare & Medicaid Services on 2008-01-08.

As of what date were the details pertaining to Sportco Rehabilitation Pc last refreshed?

The information related to the Sportco Rehabilitation Pc, including its address, specialty, and other relevant details, was last updated on 2012-04-02.

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