Progressive Wellness and Rehabilitation SC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

038011555 Issued in IL

Legal business name

PROGRESSIVE WELLNESS AND REHABILITATION SC

Practice address

3015 E New York St Ste A12
Aurora, IL 60504-5163

Phone

(630) 820-1330

Fax

(630) 820-1554

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

William Buchar, DC

Title

Owner

Phone

(630) 820-1330

Specialties & licenses 4

Addresses

Locations

Practitioners 2

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

• Tandy Johnson

  • Chiropractor
  • Roscoe, IL
  • NPI 1316393002
  NPD (past)
• Nicole Worden, LMT

  • Massage Therapist
  • Plainfield, IL
  • NPI 1942677356
  NPD (past)

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1194172148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9042",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605670042",
            "telephone_number": "630-820-1330",
            "fax_number": "630-820-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E NEW YORK ST STE A12",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045163",
            "telephone_number": "630-820-1330",
            "fax_number": "630-820-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE WELLNESS AND REHABILITATION SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "BUCHAR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-820-1330",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011851",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "038011555",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "038011555",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085002931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care West, S.C.
• Phillip Prior, LPC
• Prism Pharmacy Aurora LLC
• Ashna Priyal
• Professional Medical Consultants
• Noreen E Prokuski, CNM
• Proper Chiropractic
• Laurita Marie Provancal, LCSW
• Provena Hospitals
• Provena Mercy Medical Center

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.