NPI 1407853393 · live from the CMS NPI Registry
Addison Physical Medicine And Rehabilitation Center Ltd.
Chiropractor in Wood Dale, IL. National Provider Identifier 1407853393, active.
NPI record
| NPI | 1407853393 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 199 S. Addison Rd., Suite #106, Wood Dale, IL 60191 |
| Practice phone | 630-766-1552 |
| Enumerated | July 7, 2005 |
| Last updated | July 21, 2022 |
| Authorized official | Edward Krys, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 038008124 (IL) |
| Physical Therapist | 225100000X | — (IL) |
| Chiropractor primary | 111N00000X | — (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.