SOUTHWEST SPINE & ORTHO REHABILITATION (NPI# 1821370586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821370586 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST SPINE & ORTHO REHABILITATION |
| Practice Address |
2400 Glenwood Ave Ste 220 Joliet IL 60435-5498 |
| Practice Telephone | 8154175777 |
| Mailing Telephone | 8154175777 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |
| Authorized Official Name | THOMAS DZIELAWSKI (PROVIDER) |
| Authorized Official Telephone | 8154175777 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| Street Address |
2400 GLENWOOD AVE STE 220 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-5498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619536927 | Dale Anthony Mraz | Chiropractor | 823 N 129th Infantry Dr Ste 101, Joliet, IL 60435-8347 | 2019-06-10 |
| 1972966034 | Jose Carlo Martinez | Chiropractor | 2611 E Cass St, Joliet, IL 60432-9761 | 2016-04-05 |
| 1215314505 | Diana Martinez | Chiropractor | 2615 E Cass St, Joliet, IL 60432-9761 | 2015-05-06 |
| 1932548195 | Tyrah Tucker | Chiropractor | 2411 W Jefferson St, Joliet, IL 60435-6448 | 2013-06-21 |
| 1477803286 | Integrated Health Source S.c. | Chiropractor | 2411 West Jefferson Street, Joliet, IL 60435-6448 | 2012-09-19 |
| 1235437104 | Bolton Family Chiropractic Ltd | Chiropractor | 3581 Hennepin Dr, Joliet, IL 60431-9205 | 2011-03-02 |
| 1649572496 | Carissa M Baranoski | Chiropractor | 3037 Theodore St, Joliet, IL 60435-5191 | 2010-11-30 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1356678171 | Chiro One Wellness Center of Joliet LLC | Chiropractor | 2410 W Jefferson St, Ste 116, Joliet, IL 60435-6449 | 2009-11-16 |
| 1518153345 | Rebecca K Ross | Chiropractor | 550 Silver Leaf Dr, Joliet, IL 60431-8330 | 2007-09-14 |
| Find all providers in JOLIET | ||||
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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.