Spine and Joint Rehabilitation Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SPINE AND JOINT REHABILITATION SERVICES

Practice address

1415 S 5TH Ave
Maywood, IL 60153-2128

Phone

(708) 345-6630

Fax

(708) 345-9950

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Darwin Minnis, D.C.NPI 1952568412

Title

President

Phone

(708) 345-6630

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darwin Andrew Minnis, D.C.

  • Chiropractor
  • Maywood, IL
  • NPI 1952568412
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1093878829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S 5TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532128",
            "telephone_number": "708-345-6630",
            "fax_number": "708-345-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S 5TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532128",
            "telephone_number": "708-345-6630",
            "fax_number": "708-345-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND JOINT REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MINNIS",
        "authorized_official_first_name": "DARWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-345-6630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001621245",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam David Souchik, MD
• Michael Clarkston Soult II, MD
• Laurel Anna Spaccarelli, MD
• Justin Spackey, MD
• Jodi J Speiser, M.D.
• Tiffany Splunge
• Emily Spoolstra
• Nicole Sprawka, MD
• Divya Sridharan, MD
• Millen Srivastava, DO, MS

• Clinic/Center in Maywood, IL
• Providers in Maywood, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.