Illinois Wellness Group of Naperville, S.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ILLINOIS WELLNESS GROUP OF NAPERVILLE, S.C.

Practice address

3416 S Route 59
Suite 108
Naperville, IL 60564-8148

Phone

(630) 416-1151

Fax

(630) 416-1158

NPI assigned

Jun 12, 2012

Last updated

Jun 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M Glaus, D.C.

Title

President

Phone

(480) 227-7144

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1760744106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 S ROUTE 59",
            "address_2": "SUITE 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648148",
            "telephone_number": "630-416-1151",
            "fax_number": "630-416-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 S ROUTE 59",
            "address_2": "SUITE 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648148",
            "telephone_number": "630-416-1151",
            "fax_number": "630-416-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS WELLNESS GROUP OF NAPERVILLE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "GLAUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-227-7144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illinois Medical and Behavioral Care, LLC
• Illinois Medical Doctors of Naperville Enterprising SC
• Illinois Nursing Home& Hospital Physician Service Corporation
• Illinois Spinal & Sports Rehabilitation SC
• Illinois Wellness Center
• Illuminate Counseling Services, P.C.
• Illuminated Heart Counseling LTD
• Susannah Reeves Ilseman, MSOT, OTR/L
• Basel Imam, M.D.
• Hasan Imam

• Physical Medicine & Rehabilitation Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.