Organization Active NPI

Joliet Health & Rehab, LLC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1467841569
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012017 Issued in IL
Legal business name
JOLIET HEALTH & REHAB, LLC
Practice address
910 W Van Buren St
Suite 232
Chicago, IL 60607-3523
Phone
(305) 608-9248
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Todd Sussman, DC
Title
Owner
Phone
(305) 608-9248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.012017 IL Primary

Addresses

Primary practice location

910 W Van Buren St
Suite 232
Chicago, IL 60607-3523

Mailing address

910 W Van Buren St
Suite 232
Chicago, IL 60607-3523

National Provider Directory

National Provider Directory

Locations

910 W Van Buren St
Ste 232
Chicago, IL 60607

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1467841569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W VAN BUREN ST",
            "address_2": "SUITE 232",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W VAN BUREN ST",
            "address_2": "SUITE 232",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073523",
            "telephone_number": "305-608-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET HEALTH & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-608-9248",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.