Strong Spine Institute, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

STRONG SPINE INSTITUTE, PLLC

Practice address

64 Sheldon LN
Highland Park, IL 60035-5132

Phone

(773) 682-7661

NPI assigned

Jul 24, 2021

Organization subpart

No

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

Authorized official

Name

Dmitry Novoseletsky, MDNPI 1043230345

Title

Manager

Phone

(773) 682-7661

Specialties & licenses 2

Addresses

Practitioners 1

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

• Dmitry Novoseletsky, MD

  • Physical Medicine & Rehabilitation Physician
  • Bartlett, IL
  • NPI 1043230345
  NPD Authorized official

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1902479132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SHELDON LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 SHELDON LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355132",
            "telephone_number": "773-682-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG SPINE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "NOVOSELETSKY",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-682-7661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tani R Strain, MA, LMFT
• Francesca Ann Strangis
• Reid Strellner, M.S., CCC-SLP
• Stretchwerks LLC
• Laura Strohm, PA-C
• Joseph Strutzel, LMT
• Shweta M Stuart, M.D.
• Edward Suh
• Lisa Marie Sullivan, M.D.
• John Sultan

• Physical Medicine & Rehabilitation Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.