Organization Active NPI

Progressive Physical Medicine S.C.

  • Chiropractor
  • Lombard, IL
National Provider Identifier
1417071887
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PROGRESSIVE PHYSICAL MEDICINE S.C.
Practice address
426 S Main St
Lombard, IL 60148-2600
Phone
(630) 620-0100
Fax
(630) 620-0101
NPI assigned
Mar 19, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Jason Friedman, D.C.NPI 1578677936
Title
Clinic Director, President
Phone
(630) 620-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary
Chiropractor 111N00000X IL

Addresses

Primary practice location

426 S Main St
Lombard, IL 60148-2600

Mailing address

426 S Main St
Lombard, IL 60148-2600
Phone (630) 620-0100

National Provider Directory

National Provider Directory

Locations

426 S Main St
Lombard, IL 60148
Phone (630) 347-3173

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1417071887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482600",
            "telephone_number": "630-620-0100",
            "fax_number": "630-620-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482600",
            "telephone_number": "630-620-0100",
            "fax_number": "630-620-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICAL MEDICINE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CLINIC DIRECTOR, PRESIDENT",
        "authorized_official_telephone_number": "630-620-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.