Clinica Su Red

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

Legal business name

CLINICA SU RED

Practice address

720 Collins St
Joliet, IL 60432-1615

Phone

(815) 726-2288

Fax

(815) 726-2814

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Brent J Rhode, M.S.

Title

Chief Operating Officer

Phone

(708) 337-7704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1235461278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324967",
            "telephone_number": "708-364-8441",
            "fax_number": "708-364-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 COLLINS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321615",
            "telephone_number": "815-726-2288",
            "fax_number": "815-726-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA SU RED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "RHODE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "708-337-7704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Frances Clark, PT, DPT
• Kevin Clarke, PA
• Kristen Clarke, MSW
• Karen Cleveland, PT
• Paige Marie Cline, ATC
• Clinical Associates in Medicine, LLC
• Lisa Coburn, LCSW
• Robert D Coffee
• Gregg R Cohan, M.D.
• Jessica Cohen, L.P.C.

• Orthopedic Chiropractor in Joliet, IL
• Providers in Joliet, IL by specialty
• Orthopedic Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.