Spinerehabcenter

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038011224 Issued in IL

Legal business name

SPINEREHABCENTER

Practice address

5019 W Lawrence Ave
Chicago, IL 60630-3800

Phone

(312) 523-6385

NPI assigned

Jan 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jamshied Bakshodeh, DC

Title

Doctor/Owner

Phone

(312) 523-6385

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1427294024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303800",
            "telephone_number": "312-523-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303800",
            "telephone_number": "312-523-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEREHABCENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "BAKSHODEH",
        "authorized_official_first_name": "JAMSHIED",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "312-523-6385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038011224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine and Orthopaedic Surgery Center LTD
• Spine Arc, Inc
• Spine Centers Institute, Inc.
• Spine Worx
• Lucia Spinelli, LCSW
• Katelyn Spinney, NP
• Gia Marie Spiotto, RN, CPNP-AC
• Michael Spiotto, M.D., PH.D.
• Neal Elliott Spira, M.D.
• Wesley Spirala, PT

• Rehabilitation Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.