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Organization
SPORT & SPINE REHAB INSTITUTE
Active
Organization
SPORT & SPINE REHAB INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS SOLECKI JR. (OWNER)
(262) 818-3795
Entity
Organization
Contact information
Practice address
200 E ROOSEVELT RD, JANSE HALL, LOMBARD, IL 60148-4539
(262) 818-3795
(630) 277-8100
Mailing address
PO BOX 4588, NAPERVILLE, IL 60567-4588
(262) 818-3795
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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