Active NPI
Stretchclub S.C.
- Chiropractor
- Yorkville, IL
National Provider Identifier
1619500428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- STRETCHCLUB S.C.
- Practice address
- 332 E Veterans Pkwy
Yorkville, IL 60560-1767 - Phone
- (630) 882-9695
- NPI assigned
- Feb 20, 2020
- Last updated
- May 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Glynn, DC
- Title
- Employee
- Phone
- (630) 882-9695
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary | |
| General Practice Physician | 208D00000X | NU |
Addresses
Primary practice location
332 E Veterans Pkwy
Yorkville, IL 60560-1767
Mailing address
332 E Veterans Pkwy
Yorkville, IL 60560-1767
Phone (630) 882-9695
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621382400000",
"number": "1619500428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 E VETERANS PKWY",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605601767",
"telephone_number": "630-882-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 E VETERANS PKWY",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605601767",
"telephone_number": "630-882-9695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRETCHCLUB S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-20",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A",
"authorized_official_last_name": "GLYNN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "EMPLOYEE",
"authorized_official_telephone_number": "630-882-9695",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorkville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.