Southwest Spine & Ortho Rehabilitation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTHWEST SPINE & ORTHO REHABILITATION

Practice address

2400 Glenwood Ave Ste 220
Joliet, IL 60435-5498

Phone

(815) 417-5777

NPI assigned

Sep 19, 2011

Organization subpart

No

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

Authorized official

Name

Thomas Dzielawski, DC

Title

Provider

Phone

(815) 417-5777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1821370586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 GLENWOOD AVE STE 220",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355498",
            "telephone_number": "815-417-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GLENWOOD AVE STE 220",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355498",
            "telephone_number": "815-417-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SPINE & ORTHO REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "DZIELAWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "815-417-5777",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.