Stretchclub Naperville S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

STRETCHCLUB NAPERVILLE S.C.

Practice address

47 E Chicago Ave Ste 332B
Naperville, IL 60540-5360

Phone

(312) 763-6542

Fax

(630) 566-5965

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Mark D Glynn, DC

Title

Owner

Phone

(630) 777-5721

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeries R Jreisat

  • Chiropractor
  • Naperville, IL
  • NPI 1891423521
  NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1801516737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 E CHICAGO AVE STE 332B",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405360",
            "telephone_number": "630-777-5721",
            "fax_number": "630-566-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 E CHICAGO AVE STE 332B",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405360",
            "telephone_number": "312-763-6542",
            "fax_number": "630-566-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRETCHCLUB NAPERVILLE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-777-5721",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "paintohealth@gmail.com",
            "affiliation": "N",
            "address_1": "47 E Chicago Ave Ste 332B",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605405360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anita Strassman
• Matthew Alan Strauch, D.O.
• Bruce Strauf, D.C.
• Laura Anne Strausberger, NP
• Martha T Strening, APN
• Steve Stricker, MS, ATC
• Strong Healthcare Solutions
• Strong Healthcare Solutions
• Nicole Strubel
• Structure Integrative Healthcare LTD

• Chiropractor in Naperville, IL
• Providers in Naperville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.