Organization Active NPI

Nonsurgical Spine & Ortho Care, LLC.

  • Physical Medicine & Rehabilitation Physician
  • Bloomingdale, IL
National Provider Identifier
1639377435
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NONSURGICAL SPINE & ORTHO CARE, LLC.
Practice address
303 E Army Trail Rd
Suite 407
Bloomingdale, IL 60108-2169
Phone
(630) 980-4922
NPI assigned
Jul 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Pavel Hudoba, M.D.NPI 1720148810
Title
Director
Phone
(630) 980-4922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X IL Primary

Addresses

Primary practice location

303 E Army Trail Rd
Suite 407
Bloomingdale, IL 60108-2169

Mailing address

303 E Army Trail Rd
Suite 407
Bloomingdale, IL 60108-2169
Phone (630) 980-4922

National Provider Directory

National Provider Directory

Locations

303 E Army Trail Rd
Ste 40
Bloomingdale, IL 60108
Phone (630) 980-4922

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639377435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "address_2": "SUITE 407",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082169",
            "telephone_number": "630-980-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "address_2": "SUITE 407",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082169",
            "telephone_number": "630-980-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NONSURGICAL SPINE & ORTHO CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDOBA",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-980-4922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.