Spinal Care Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038003702 Issued in IL

Legal business name

SPINAL CARE CENTER

Practice address

6270 E Riverside Blvd
Loves Park, IL 61111-4418

Phone

(815) 654-2030

Fax

(815) 654-8671

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Raymond L Jarek Jr., D.C.

Title

Owner/Practioner

Phone

(815) 654-2030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1306218896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 E RIVERSIDE BLVD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114418",
            "telephone_number": "815-654-2030",
            "fax_number": "815-654-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 E RIVERSIDE BLVD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114418",
            "telephone_number": "815-654-2030",
            "fax_number": "815-654-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "JAREK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "815-654-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038003702",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Allen Sloan, D.C.
• Todd R. Smidt, CRNA
• Joni D. Smith, CRNA
• Lynnette Smith, L.M.T.
• Lisa P Solomon, D.O.
• Kathleen J. Starck, C.R.N.A.
• Timothy W. Starck, M.D.
• Phillip G Statler, LMT
• Suzanne Stein, CRNA
• Kelly Stone

• 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 Oct 23, 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.