Illinois Spinal & Sports Rehabilitation SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008240 Issued in IN

Legal business name

ILLINOIS SPINAL & SPORTS REHABILITATION SC

Practice address

3360 Lacrosse LN Ste 116
Naperville, IL 60564-8155

Phone

(630) 904-9700

Fax

(630) 904-9713

NPI assigned

Mar 27, 2007

Last updated

Aug 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric James Lukosus, DCNPI 1992774277

Title

President

Phone

(630) 989-9700

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric James Lukosus, D.C.

  • Chiropractor
  • Naperville, IL
  • NPI 1992774277
  Medicare reassignment Authorized official
• Joshua Knicker

  • Chiropractor
  • Naperville, IL
  • NPI 1548877301
  Medicare reassignment NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1275651242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 LACROSSE LN STE 116",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648155",
            "telephone_number": "630-904-9700",
            "fax_number": "630-904-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 LACROSSE LN STE 116",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648155",
            "telephone_number": "630-904-9700",
            "fax_number": "630-904-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS SPINAL & SPORTS REHABILITATION SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-08-05",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "LUKOSUS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-989-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "038008240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7553267",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9932170",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1992774277",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Illinois Housing and Disability Services
• Illinois Luna Care Physical Therapy LLC
• Illinois Medical and Behavioral Care, LLC
• Illinois Medical Doctors of Naperville Enterprising SC
• Illinois Nursing Home& Hospital Physician Service Corporation
• Illinois Wellness Center
• Illinois Wellness Group of Naperville, S.C.
• Illuminate Counseling Services, P.C.
• Illuminated Heart Counseling LTD
• Susannah Reeves Ilseman, MSOT, OTR/L

• Chiropractor in Naperville, IL
• Providers in Naperville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.