J&D Spine and Joint Rehab PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

J&D SPINE AND JOINT REHAB PLLC

Practice address

1935 Springbrook Square Dr Ste 105
Naperville, IL 60564-5948

Phone

(630) 882-5866

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Dongwann Kim, DCNPI 1922266196

Title

Owner

Phone

(630) 882-5866

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Dongwann Kim, D.C.

  • Chiropractor
  • Naperville, IL
  • NPI 1922266196
  NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1346012564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 SPRINGBROOK SQUARE DR STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645948",
            "telephone_number": "630-882-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 SPRINGBROOK SQUARE DR STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645948",
            "telephone_number": "630-882-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&D SPINE AND JOINT REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONGWANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-882-5866",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.