Spine Rehabilitation and Wellness Inc

Primary specialty

NaprapathTaxonomy code 172P00000X

Legal business name

SPINE REHABILITATION AND WELLNESS INC

Practice address

703 Ashland Ave
River Forest, IL 60305-1828

Phone

(708) 542-0077

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Marcin Walczak, DN

Title

Doctor of Naprapathy

Phone

(708) 542-0077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1124408315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ASHLAND AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051828",
            "telephone_number": "708-542-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ASHLAND AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051828",
            "telephone_number": "708-542-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE REHABILITATION AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "WALCZAK",
        "authorized_official_first_name": "MARCIN",
        "authorized_official_title_or_position": "DOCTOR OF NAPRAPATHY",
        "authorized_official_telephone_number": "708-542-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DN"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naprapath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Gallagher Smythe, D.D.S.
• Keith Sommers, D.D.S.
• Xuyang Song, M.D.
• Stephen Edward Soppet, DDS
• Maureen L Spielman, M.A.,CCC-SLP
• Robert Ira Steinberg, DPM
• Step Into Clarity
• Jerry Lee Stout, OST
• Jennifer Anne Strang, D.C.
• Surasak and Sirimon

• Naprapath in River Forest, IL
• Providers in River Forest, IL by specialty
• Naprapath in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.