SPORTCO REHABILITATION PC (NPI# 1740465723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740465723 |
Entity Type | Organization |
Organization Name | SPORTCO REHABILITATION PC |
Practice Address |
1995 Springbrook Square Dr Unit 109 Naperville IL 60564-5951 |
Mailing Address |
1995 Springbrook Square Dr. Unit 109 Naperville IL 60564-5951 |
Practice Telephone | 6309226500 |
Practice Fax Number | 6309226502 |
Mailing Telephone | 6309226500 |
Mailing Fax Number | 6309226502 |
Enumeration Date | 2008-01-08 |
Last Update Date | 2012-04-02 |
Authorized Official Name | DR. MARK GLYNN (OWNER) |
Authorized Official Telephone | 6309226500 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038008664 | IL | Chiropractic Providers |
Street Address |
1995 SPRINGBROOK SQUARE DR UNIT 109 |
City | NAPERVILLE |
State | IL |
Zip Code | 60564-5951 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619915105 | Paula Sue Mintchell | Optometrist | 1995 Springbrook Square Dr, Suite111, Naperville, IL 60564-5951 | 2006-06-04 |
1710352463 | The Pain To Health Center Sc | Chiropractor | 1995 Springbrook Square Dr, Unit 109, Naperville, IL 60564-5951 | 2015-12-07 |
1215289558 | Paula S. Mintchell,o.d., P.C. | Optometrist | 1995 Springbrook Square Dr, Suite111, Naperville, IL 60564-5951 | 2012-10-10 |
1447522362 | Chiro Care Health Centers Inc | Chiropractor | 1995 Springbrook Square Dr, Unit 109, Naperville, IL 60564-5951 | 2012-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
Find all providers in zip 60564 |
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 |
---|---|---|---|---|
1265042022 | Naperville Chiropractic and Massage | Chiropractor | 47 E Chicago Ave Ste 332, Naperville, IL 60540-5360 | 2020-08-06 |
1083246110 | Dr. Leah Rose LLC | Chiropractor | 1100 Sherman Ave Ste 105, Naperville, IL 60563-4855 | 2020-02-06 |
1659914984 | Dr. Jess Enderby LLC | Chiropractor | 1415 Bond St Ste 171, Naperville, IL 60563-2769 | 2019-10-18 |
1518518380 | Claire Trafton | Chiropractor | 1767 W Ogden Ave Ste 143, Naperville, IL 60540-5008 | 2019-09-24 |
1982257150 | Susan Kennedy | Chiropractor | 1220 W Ogden Ave Ste D, Naperville, IL 60563-3977 | 2019-07-17 |
1770041022 | Austin Warden | Chiropractor | 2531 W 75th St Ste 2531d, Naperville, IL 60540-9000 | 2019-03-06 |
1699244848 | Advanced Sport and Wellness Ltd | Chiropractor | 1805 N Mill St Ste E, Naperville, IL 60563-4860 | 2018-11-16 |
1902312390 | Timothy Faulkner, Dc | Chiropractor | 500 E Ogden Ave Ste 100, Naperville, IL 60563-3264 | 2017-12-20 |
1740714450 | Elite Recovery Chiropractic | Chiropractor | 43 Glencoe Ct, 101a, Naperville, IL 60565-2100 | 2017-04-19 |
1861840464 | William Bolster | Chiropractor | 524 W 5th Ave, Naperville, IL 60563-2901 | 2016-05-25 |
Find all providers in NAPERVILLE |
City | NAPERVILLE |
Zip Code | 60564 |
Please comment or provide details below to improve the information on SPORTCO REHABILITATION PC.
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.