Sport & Spine Rehab Institute

NPI #1982952552 in Lombard, Illinois

Provider Information

NPI Number: 1982952552
Entity Type: Organization
Organization Name: Sport & Spine Rehab Institute
Primary Specialty: Chiropractor
Enumeration Date: Aug 29, 2012
Last Updated: Aug 29, 2012

Practice Location

Address: 200 E ROOSEVELT RD
Address 2: JANSE HALL
City: Lombard
State: Illinois
ZIP Code: 60148-4539
Phone: (262) 818-3795

Authorized Official

Name: DR. THOMAS SOLECKI JR.
Title: OWNER
Phone: (262) 818-3795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Rehabilitation — Rehabilitation	111NR0400X
Chiropractor - Sports Physician — Sports Physician	111NS0005X
Chiropractor	111N00000X	Primary

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