NPIMap

Organization Active NPI

Integrative Chiropractic & Sports Medicine, LTD

Doing business as Integrative Spinal & Sports Rehabilitation

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1982613584
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.009675 Issued in IL
Legal business name
INTEGRATIVE CHIROPRACTIC & SPORTS MEDICINE, LTD
Doing business as
Integrative Spinal & Sports Rehabilitation
Practice address
13520 S. Route 59
Suite 100
Plainfield, IL 60544
Phone
(815) 439-9800
Fax
(815) 439-9804
NPI assigned
Aug 5, 2006
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Stephanie Ann Easterday, D.C.
Title
Owner/Chiropractor
Phone
(815) 439-9800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009675 IL
Chiropractor 111N00000X 038.009675 IL Primary

Addresses

Primary practice location

13520 S. Route 59
Suite 100
Plainfield, IL 60544

Mailing address

13520 S. Route 59
Suite 100
Plainfield, IL 60544
Phone (815) 439-9800

Other names 1

  • Integrative Spinal & Sports Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

13544 S Route 30
Ste D
Plainfield, IL 60544
Phone (815) 267-3707

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1982613584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13520 S. ROUTE 59",
            "address_2": "SUITE 100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-439-9800",
            "fax_number": "815-439-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13520 S. ROUTE 59",
            "address_2": "SUITE 100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-439-9800",
            "fax_number": "815-439-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CHIROPRACTIC & SPORTS MEDICINE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "EASTERDAY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "815-439-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009675",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.009675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Spinal & Sports Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.