Spine Care Center PC

Primary specialty

NaprapathTaxonomy code 172P00000X

License

181.000374 Issued in IL

Legal business name

SPINE CARE CENTER PC

Practice address

2190 Gladstone CT
Glendale Heights, IL 60139-1519

Phone

(630) 347-7580

Fax

(312) 377-1664

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Warchalowska

Title

Director

Phone

(630) 347-7580

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1619381985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 GLADSTONE DR. UNIT B",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "60139",
            "telephone_number": "639-347-7580",
            "fax_number": "312-377-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 GLADSTONE CT",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391519",
            "telephone_number": "630-347-7580",
            "fax_number": "312-377-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "WARCHALOWSKA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-347-7580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181.000374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPRAPATHYPA",
            "identifier": "1720351596",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPRAPATHY",
            "identifier": "1720351596",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Naprapath in Glendale Heights, IL
• Providers in Glendale Heights, IL by specialty
• Naprapath in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.