# DEAD BUG REHAB PLLC

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

## Provider details

- **NPI number:** 1386512754
- **Authorized official:** DR. SCOTT CRUSE (OWNER)
- **Authorized official phone:** (224) 250-3526

## Contact information

- **Practice address:** 1450 W MAIN ST, ST CHARLES, IL 60174-1679
- **Practice address phone:** (224) 250-3526
- **Mailing address:** 1450 W MAIN ST, ST CHARLES, IL 60174-1679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2025
- **Last updated:** 10/28/2025