Active NPI
Pro Medical Inc
- Chiropractor
- Plainfield, IL
National Provider Identifier
1720547243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PRO MEDICAL INC
- Practice address
- 12337 S Route 59 Unit 119
Plainfield, IL 60585-4626 - Phone
- (815) 267-6263
- Fax
- (815) 782-8549
- NPI assigned
- Mar 14, 2019
- 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
- Randal Cybulski, DC, CCSP
- Title
- Owner
- Phone
- (815) 267-6263
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Anesthesiology Physician | 207L00000X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Podiatrist | 213E00000X | |||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
12337 S Route 59 Unit 119
Plainfield, IL 60585-4626
Mailing address
12337 S Route 59 Unit 119
Plainfield, IL 60585-4626
Phone (815) 267-6263
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674259200000",
"number": "1720547243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12337 S ROUTE 59 UNIT 119",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605854626",
"telephone_number": "815-267-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12337 S ROUTE 59 UNIT 119",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605854626",
"telephone_number": "815-267-6263",
"fax_number": "815-782-8549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-14",
"last_updated": "2023-01-21",
"certification_date": "2020-10-21",
"status": "A",
"authorized_official_last_name": "CYBULSKI",
"authorized_official_first_name": "RANDAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-267-6263",
"authorized_official_credential": "DC, CCSP"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.