Center for Pelvic Wellness, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070014814 Issued in IL

Legal business name

CENTER FOR PELVIC WELLNESS, INC.

Practice address

1790 Nations Dr
Suite 107
Gurnee, IL 60031-9164

Phone

(224) 548-8114

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Shannon JaronikNPI 1811218241

Title

Physical Therapist/Co-Owner

Phone

(815) 603-2023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josephine L. Gonzales-Chua, PT

  • Orthopedic Physical Therapist
  • Gurnee, IL
  • NPI 1053632331
  Medicare reassignment Care Compare group NPD
• Portia Tinker, P.T

  • Physical Therapist
  • Libertyville, IL
  • NPI 1841438777
  Medicare reassignment Care Compare group NPD
• Shannon Jean Jaronik, PT

  • Physical Therapist
  • Lake Forest, IL
  • NPI 1811218241
  NPD (past) Authorized official

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1477827491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 NATIONS DR",
            "address_2": "SUITE 107",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319164",
            "telephone_number": "224-548-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 NATIONS DR",
            "address_2": "SUITE 107",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319164",
            "telephone_number": "224-548-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PELVIC WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "JARONIK",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CO-OWNER",
        "authorized_official_telephone_number": "815-603-2023"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Casaclang, DMD
• Cynthia Baldovino Casaclang, DDS
• Timothy J Casey, D.P.M.
• Michelle Catenacci, MD
• Michael Cavanaugh, M.D.
• Samra Cerim, APN-CNP
• Samarendra Chandel, MD
• Alix A Charles, MD
• Alejandra Chavez Hernandez
• Janeth Chavez-Villa

• Physical Therapist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.