PRO SPORTS AND SPINAL REHAB (NPI# 1770905432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770905432 |
| Entity Type | Organization |
| Organization Name | PRO SPORTS AND SPINAL REHAB |
| Practice Address |
12337 S Route 59 Unit 119 Plainfield IL 60585-4625 |
| Practice Telephone | 8152676263 |
| Practice Fax Number | 8157828549 |
| Mailing Telephone | 8152676263 |
| Mailing Fax Number | 8157828549 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2015-03-13 |
| Authorized Official Name | MR. RANDAL CYBULSKI (OWNER) |
| Authorized Official Telephone | 8152676263 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 070006640 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 111N00000X | Chiropractor | 038011835 | IL | Chiropractic Providers |
| Street Address |
12337 S ROUTE 59 UNIT 119 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60585-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750364584 | Dilip Patel | Dentist | 12337 S Route 59, Suite 125, Plainfield, IL 60585-4625 | 2005-11-25 |
| 1740716950 | Myers Chiropractic | Chiropractor | 12337 S Route 59, Suite 119, Plainfield, IL 60585-4625 | 2017-05-08 |
| 1922427632 | Elite Pain Management Sc | Anesthesiology | 12337 S Route 59, Suite 119, Plainfield, IL 60585-4625 | 2014-04-09 |
| 1063717676 | Randal R Cybulski | Chiropractor | 12337 S Route 59, Suite 119, Plainfield, IL 60585-4625 | 2011-01-13 |
| 1265644157 | The Doctors Inn | Chiropractor | 12337 S Route 59, Suite 119, Plainfield, IL 60585-4625 | 2007-05-04 |
| 1972674596 | Smile Care Dental Associates LLC | Dentist | 12337 S Route 59, Ste 13, Plainfield, IL 60585 | 2006-11-13 |
| 1891866414 | Vishruti Patel | Dentist | 12337 S Route 59, Suite 13, Plainfield, IL 60585 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918650 | Kaytlin Cearnal | Behavior Technician | 11914 Illinois Rte 59, Suite 124, Plainfield, IL 60585 | 2020-06-29 |
| 1891315503 | Erin Leigh Lehman | Social Worker | 11914 Illinois Rte 59 Suite 124, Plainfield, IL 60585 | 2020-04-22 |
| 1770112856 | Neuro Communication & Swallowing Therapy LLC | Speech-Language Pathologist | 13400 S. Route 59, Ste 116, Plainfield, IL 60585 | 2020-04-02 |
| 1407494891 | Samantha Lisa Delaney | Behavior Technician | 11914 Il-59, Plainfield, IL 60585 | 2019-12-16 |
| 1134767510 | Alexandra Marie Vosburgh | Behavior Technician | 11914 Il-59 S Unit 124, Plainfield, IL 60585 | 2019-12-16 |
| 1609419498 | Kristen Gomez | Occupational Therapist | 11914 Il Route 59, Suite 124, Plainfield, Il, IL 60585 | 2019-10-24 |
| 1073165411 | Kari Mild | Speech-Language Pathologist | 1183 Ford Court, Plainfield, IL 60585 | 2019-07-16 |
| 1700367810 | Monica Isabel Avelar | Behavior Technician | 11914 Illinois Route 59, Plainfield, IL 60585 | 2018-08-27 |
| 1427599901 | Harrinder Panglia | Occupational Therapist | 12800 Barrow Lane, Plainfield, IL 60585 | 2017-03-16 |
| 1942678990 | Jessica Akins | Speech-Language Pathologist | 12838 Blue Spruce Dr, Plainfield, IL 60585 | 2015-09-08 |
| Find all providers in zip 60585 | ||||
| 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 |
|---|---|---|---|---|
| 1518500925 | Anna V Shelest | Chiropractor | 16521 Winding Creek Rd, Plainfield, IL 60586-9614 | 2019-10-18 |
| 1932672466 | Joshua Baker | Chiropractor | 16310 S Lincoln Hwy Ste 128, Plainfield, IL 60586-9064 | 2019-01-08 |
| 1245717537 | Antonio Franco | Chiropractor | 5012 Cambridge Way Ste 151, Plainfield, IN 46168-5699 | 2018-07-19 |
| 1356746861 | Murphy Chiropractic and Wellness Corp | Chiropractor | 13550 Rte 30, Ll 104, Plainfield, IL 60544 | 2014-10-27 |
| 1245664549 | Jeffrey Allen Neumann | Chiropractor | 24510 W Lockport St Ste 102, Plainfield, IL 60544-2312 | 2013-08-22 |
| 1871939165 | Robert Allan Aarestad Jr. | Chiropractor | 15041 S Van Dyke Rd Ste 101, Plainfield, IL 60544-5805 | 2013-05-14 |
| 1477890416 | Cassandra Leigh Ferguson | Chiropractor | 15041 S. Van Dyke Rd Suite 101, Pain & Wellness Group LLC, Plainfield, IL 60544 | 2013-01-10 |
| 1609131341 | Paul Mccarthy | Chiropractor | 13520 S Route 59, Suite 100, Plainfield, IL 60544-5545 | 2012-07-09 |
| 1720348428 | Robert J. Krause, D.c., P.C. | Chiropractor | 1729 E. Main Street, Plainfield, IN 46168 | 2012-05-29 |
| 1790083863 | Tina Slater | Chiropractor | 15300 S Route 59, Plainfield, IL 60544-3007 | 2011-03-14 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60585 |
Please comment or provide details below to improve the information on PRO SPORTS AND SPINAL REHAB.
| 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.