Individual provider Active NPI

Slawomir M Soja, DN

  • Naprapath
  • Downers Grove, IL
National Provider Identifier
1669739934
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
181000400 Issued in IL
Practice address
6112 Woodward Ave
Downers Grove, IL 60516-1712
Phone
(773) 732-8854
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 227007732 IL
Naprapath 172P00000X 181000400 IL Primary

Addresses

Primary practice location

6112 Woodward Ave
Downers Grove, IL 60516-1712

Mailing address

6112 Woodward Ave
Downers Grove, IL 60516-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
227007732ILMDMechanotherapist
181000400ILMDNaprapath

Practice roles

OrganizationSpecialtyStatusNew patients
Maximus Health, Inc. Naprapath Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1669739934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 WOODWARD AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 WOODWARD AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161712",
            "telephone_number": "773-732-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOJA",
        "first_name": "SLAWOMIR",
        "middle_name": "M",
        "credential": "DN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "IL",
            "license": "227007732",
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181000400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.