Comprehensive Medical Rehabilition Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009050 Issued in IL

Legal business name

COMPREHENSIVE MEDICAL REHABILITION INC

Practice address

1820 Windsor Rd
Suite a
Loves Park, IL 61111-4271

Phone

(815) 986-4411

Fax

(815) 986-4414

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Cathy Lynn Dzik, DC

Title

Owner

Phone

(815) 986-4411

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1184814998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 WINDSOR RD",
            "address_2": "SUITE A",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114271",
            "telephone_number": "815-986-4411",
            "fax_number": "815-986-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WINDSOR RD",
            "address_2": "SUITE A",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114271",
            "telephone_number": "815-986-4411",
            "fax_number": "815-986-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL REHABILITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "DZIK",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-986-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "10132132",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1417921610",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.