# PROGRESSIVE WELLNESS AND REHABILITATION SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194172148
- **Authorized official:** WILLIAM BUCHAR DC (OWNER)
- **Authorized official phone:** (630) 820-1330

## Contact information

- **Practice address:** 3015 E NEW YORK ST STE A12, AURORA, IL 60504-5163
- **Practice address phone:** (630) 820-1330
- **Practice address fax:** (630) 820-1554
- **Mailing address:** PO BOX 9042, NAPERVILLE, IL 60567-0042
- **Mailing address phone:** (630) 820-1330
- **Mailing address fax:** (630) 820-1554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038011851 | IL | — |
| 207R00000X | Internal Medicine Physician | 038011555 | IL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 038011555 | IL | Yes |
| 363AM0700X | Medical Physician Assistant | 085002931 | IL | — |

## Other

- **Enumeration date:** 05/19/2016
- **Last updated:** 09/11/2019