South Suburban Physical Therapy LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008101 Issued in IL

Legal business name

SOUTH SUBURBAN PHYSICAL THERAPY LTD

Practice address

16137 La Salle St
South Holland, IL 60473-2064

Phone

(312) 437-1129

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Marc J. Strongin, DC

Title

President

Phone

(312) 451-4913

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1861869729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10166",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606100166",
            "telephone_number": "312-437-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16137 LA SALLE ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732064",
            "telephone_number": "312-437-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SUBURBAN PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "STRONGIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-451-4913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Holland School District - 151
• South Loop Counseling Services, LLC
• South Park Dental Care
• South Park Pediatrics, Inc
• South Park Pediatrics, Inc
• Southwest Community Services, Inc.
• Southwest Community Services, Inc.
• Glendolyn Spencer
• Kimberly N Spencer, LCPC
• St Margaret Mercy Healthcare Centers, Inc.

• Chiropractor in South Holland, IL
• Providers in South Holland, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.