Organization Active NPI

Spine Arc, Inc

  • Naprapath
  • Chicago, IL
National Provider Identifier
1669792917
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
181000283 Issued in IL
Legal business name
SPINE ARC, INC
Practice address
805 N Milwaukee Ave
Chicago, IL 60642-1256
Phone
(312) 226-3800
NPI assigned
Jun 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Dr. Paul Rzeszutek, D.N.NPI 1932329786
Title
Owner
Phone
(312) 226-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaprapathGroup: 193200000X MULTI-SPECIALTY GROUP 172P00000X 181000283 IL Primary

Addresses

Primary practice location

805 N Milwaukee Ave
Chicago, IL 60642-1256

Mailing address

805 N Milwaukee Ave
Chicago, IL 60642-1256
Phone (312) 226-3800

Other identifiers 1

IdentifierTypeStateIssuer
1932329786OtherILNPI

National Provider Directory

National Provider Directory

Locations

805 N Milwaukee Ave
Chicago, IL 60642
Phone (312) 226-3800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1669792917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421256",
            "telephone_number": "312-226-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421256",
            "telephone_number": "312-226-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE ARC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "RZESZUTEK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-226-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.N."
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181000283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932329786",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.