Rehab Dynamix LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010386 Issued in IL

Legal business name

REHAB DYNAMIX LTD

Practice address

5614 S Pulaski Rd
Upstairs
Chicago, IL 60629-4420

Phone

(773) 358-8600

Fax

(773) 304-2551

NPI assigned

Aug 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ian R Belton, DC

Title

VP

Phone

(773) 358-8600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1831479104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N. FRANKLIN ST",
            "address_2": "SUITE 801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "773-358-8600",
            "fax_number": "773-304-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5614 S PULASKI RD",
            "address_2": "UPSTAIRS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294420",
            "telephone_number": "773-358-8600",
            "fax_number": "773-304-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB DYNAMIX LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "773-358-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.