Organization Active NPI

Superior Health and Wellness of Gurnee, LTD

  • Physical Medicine & Rehabilitation Physician
  • Grayslake, IL
National Provider Identifier
1700157385
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036042751 Issued in IL
Legal business name
SUPERIOR HEALTH AND WELLNESS OF GURNEE, LTD
Practice address
1015 N Corporate Cir Ste D
Grayslake, IL 60030-7813
Phone
(847) 599-9900
Fax
(847) 599-9901
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Dr. Jodie L Schultz, D.C.
Title
Owner
Phone
(847) 599-9900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038010512 IL
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X 036051428 IL
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X 036042751 IL Primary

Addresses

Primary practice location

1015 N Corporate Cir Ste D
Grayslake, IL 60030-7813

Mailing address

1015 N Corporate Cir Ste D
Grayslake, IL 60030-7813
Phone (847) 599-9900

National Provider Directory

National Provider Directory

Locations

495 N Riverside Dr
Ste 102
Gurnee, IL 60031
Phone (847) 599-9171

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1700157385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N CORPORATE CIR STE D",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307813",
            "telephone_number": "847-599-9900",
            "fax_number": "847-599-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N CORPORATE CIR STE D",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307813",
            "telephone_number": "847-599-9900",
            "fax_number": "847-599-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTH AND WELLNESS OF GURNEE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-599-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010512",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036051428",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036042751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.