NPIMap

Organization Active NPI

Spine Rehabilitation and Pain Clinic

  • Physical Therapist
  • Glendale HTS, IL
National Provider Identifier
1639514854
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPINE REHABILITATION AND PAIN CLINIC
Practice address
2190 Gladstone CT
Suite B
Glendale HTS, IL 60139-1519
Phone
(630) 307-0200
Fax
(312) 377-1664
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Paul Rzeszutek, DN
Title
Vice-President
Phone
(630) 307-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2190 Gladstone CT
Suite B
Glendale HTS, IL 60139-1519

Mailing address

2190 Gladstone CT
Suite B
Glendale HTS, IL 60139-1519
Phone (630) 307-0200

National Provider Directory

National Provider Directory

Locations

2190 Gladstone Ct
Ste B
Glendale Hts, IL 60139
Phone (630) 307-0200

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1639514854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 GLADSTONE CT",
            "address_2": "SUITE B",
            "city": "GLENDALE HTS",
            "state": "IL",
            "postal_code": "601391519",
            "telephone_number": "630-307-0200",
            "fax_number": "312-377-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 GLADSTONE CT",
            "address_2": "SUITE B",
            "city": "GLENDALE HTS",
            "state": "IL",
            "postal_code": "601391519",
            "telephone_number": "630-307-0200",
            "fax_number": "312-377-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE REHABILITATION AND PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "RZESZUTEK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "630-307-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.