Advanced Spine & Joint Rehabilitation Service Corp

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036043862 Issued in IL

Legal business name

ADVANCED SPINE & JOINT REHABILITATION SERVICE CORP

Practice address

1555 Naperville Wheaton Rd
Suite 206
Naperville, IL 60563-1557

Phone

(630) 848-1708

Fax

(630) 566-1585

NPI assigned

Aug 28, 2007

Last updated

May 21, 2009By 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. Chad Dale Wasson, D.C.NPI 1053469692

Title

President

Phone

(630) 848-1708

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad D Wasson, D.C.

  • Rehabilitation Chiropractor
  • Naperville, IL
  • NPI 1053469692
  NPD (past) Authorized official
• Pinal P Patel, SONOGRAPHER

  • Sonography Radiologic Technologist
  • Naperville, IL
  • NPI 1790007201
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1881888485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NAPERVILLE WHEATON RD",
            "address_2": "SUITE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631557",
            "telephone_number": "630-848-1708",
            "fax_number": "630-566-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NAPERVILLE WHEATON RD",
            "address_2": "SUITE 206",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631557",
            "telephone_number": "630-848-1708",
            "fax_number": "630-566-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE & JOINT REHABILITATION SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-848-1708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008808",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IL",
            "license": "1640091972",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036043862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Health & Physicians
• Advanced Health of Naperville PLLC
• Advanced Health Services, Inc.
• Advanced Midwest Institute for Counseling and Psychotherapy, LLC (AMI Counseling, LLC)
• Advanced Physician Services
• Advanced Therapy Solutions, LLC
• Advanced Wellness of Naperville, LLC
• Advantage Medical Services, Inc
• Adventist Health Partners, Inc (Suburban Midwest Medicine)
• Adventist Health Partners, Inc

• Endocrinology, Diabetes & Metabolism Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.