Spinal Rehab & Wellness Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009287 Issued in IL

Legal business name

SPINAL REHAB & WELLNESS CENTER PC

Practice address

3450 Montgomery Rd
Suite # 21
Aurora, IL 60504

Phone

(630) 236-8600

Fax

(630) 236-8612

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mira Dhutia, DCNPI 1316097611

Title

Ceo

Phone

(630) 236-8600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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

• Mira Dhutia, D.C.

  • Chiropractor
  • Aurora, IL
  • NPI 1316097611
  Medicare reassignment Authorized official
• Lisa Marie Schwinn, RD

  • Registered Dietitian
  • Oswego, IL
  • NPI 1114117066
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1093891798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 MONTGOMERY RD",
            "address_2": "SUITE # 21",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-236-8600",
            "fax_number": "630-236-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 MONTGOMERY RD",
            "address_2": "SUITE # 21",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-236-8600",
            "fax_number": "630-236-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL REHAB & WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "DHUTIA",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-236-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sparc Chiropractic, P.C.
• Sparrow's Spring Clinical Services, LTD.
• Katherine M Spellman
• Jessica Spera, MA, CCC-SLP/L
• Kimberly Anne Spielman, DDS
• Genevieve Marie Spittler, DNP APRN AGACNP-BC
• Gregory A Spitz, M.D., F.A.C.S
• Samantha Lee Spooner
• Boni Lynn Spradlin, O.T.D, OTR/L
• Passion Springfield

• Chiropractor in Aurora, IL
• Providers in Aurora, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.