Provider Type Icon

BODY AND SPINE CLINIC LLC NPI 1881938074


NPI Information

NPI: 1881938074
Provider Name: BODY AND SPINE CLINIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 14D2213960

Address:
3037 THEODORE ST
JOLIET, IL
ZIP 60435
Phone: (815) 582-0006
Get Directions

BODY AND SPINE CLINIC LLC is a chiropractor in Joliet, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BODY AND SPINE CLINIC LLC NPI is 1881938074. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3037 THEODORE ST
JOLIET, IL
ZIP 60435-191
Phone: (815) 582-0006

The provider's authorized official is Carissa M Baranoski .
The authorized official title is Chiropractic Physician/owner and has the following contact phone number (815) 582-0006.

The CLIA number assigned to this NPI record is 14D2213960 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2012 and was last updated on 2/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038011832ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.