Active NPI
Superior Health and Wellness of Gurnee, LTD
- Physical Medicine & Rehabilitation Physician
- Grayslake, IL
National Provider Identifier
1700157385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036042751
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038010512 | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 036051428 | IL | |
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.