Organization · NPI-2
Superior Health And Wellness Of Gurnee, Ltd
Physical Medicine & Rehabilitation · Grayslake, IL
NPI number1700157385
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1700157385
- Entity type
- Organization (NPI-2)
- Legal business name
- Superior Health And Wellness Of Gurnee, Ltd
- Organization subpart
- No
- Enumeration date
- Jan 13, 2012
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 036042751 | IL | Yes |
| 111N00000X | Chiropractor | 038010512 | IL | |
| 208100000X | Physical Medicine & Rehabilitation | 036051428 | IL |
Practice location
1015 N Corporate Cir Ste DGrayslake, IL 60030-7813
Phone 847-599-9900 · Fax 847-599-9901
Mailing address
1015 N Corporate Cir Ste DGrayslake, IL 60030-7813
Phone 847-599-9900 · Fax 847-599-9901
Authorized official
Jodie L Schultz
Owner
8475999900
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