Superior Health and Wellness of Gurnee, LTD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SUPERIOR HEALTH AND WELLNESS OF GURNEE, LTD

Practice address

10105 74TH St Ste 103
Kenosha, WI 53142-7530

Phone

(847) 858-5759

Fax

(847) 599-9901

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Jodie Lynn Schultz, DC

Title

President

Phone

(847) 599-9900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1194497362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 N RIVERSIDE DR STE 102",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315919",
            "telephone_number": "847-858-5759",
            "fax_number": "847-599-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 74TH ST STE 103",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427530",
            "telephone_number": "847-858-5759",
            "fax_number": "847-599-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTH AND WELLNESS OF GURNEE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-599-9900",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel P Sturm, PA-C
• Sue Panger & Associates, SC
• Ann Marie Sundareson, M.D.
• Paul Jiyoung Sung, DDS
• Sunstone Assisted Living LLC
• Suresh R Naik MD SC
• Suresh R Naikmd SC
• Surgical Associates of Kenosha S. C.
• Surgical Associates of Kenosha, SC
• Mikayla Rose Surprenant

• Physical Medicine & Rehabilitation Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.