NPIMap

Organization Active NPI

Ultimate Skills Sports and Wellness LLC

  • Chiropractor
  • Tinley Park, IL
National Provider Identifier
1700319639
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008716 Issued in IL
Legal business name
ULTIMATE SKILLS SPORTS AND WELLNESS LLC
Practice address
17500 Duvan Dr
Tinley Park, IL 60477-3671
Phone
(708) 429-7615
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Dr. Steven William Zaeske, D.C.
Title
Owner
Phone
(708) 429-7615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-008716 IL Primary

Addresses

Primary practice location

17500 Duvan Dr
Tinley Park, IL 60477-3671

Mailing address

17500 Duvan Dr
Tinley Park, IL 60477-3671
Phone (708) 429-7615

Other names 1

  • Spine and Joint Relief Care Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

17500 Duvan Dr
Tinley Park, IL 60477
Phone (708) 429-7615

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1700319639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 DUVAN DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773671",
            "telephone_number": "708-429-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 DUVAN DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773671",
            "telephone_number": "708-429-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE SKILLS SPORTS AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "ZAESKE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-429-7615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine and Joint Relief Care Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.