Organization Active NPI

Aurora Pain & Rehab, LLC

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1982005492
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010141 Issued in IL
Legal business name
AURORA PAIN & REHAB, LLC
Practice address
2418 W Indian TRL
Aurora, IL 60506-1589
Phone
(630) 907-1300
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Todd Sussman
Title
Owner
Phone
(305) 608-9248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038010141 IL Primary

Addresses

Primary practice location

2418 W Indian TRL
Aurora, IL 60506-1589

Mailing address

2418 W Indian TRL
Aurora, IL 60506-1589

National Provider Directory

National Provider Directory

Locations

2418 W Indian Trl
Aurora, IL 60506
Phone (630) 904-5530

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1982005492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 W INDIAN TRL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 W INDIAN TRL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061589",
            "telephone_number": "630-907-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PAIN & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-608-9248"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.