Organization
PROGRESSIVE WELLNESS AND REHABILITATION SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BUCHAR DC (OWNER)
(630) 820-1330
Entity
Organization
Contact information
Practice address
3015 E NEW YORK ST STE A12, AURORA, IL 60504-5163
(630) 820-1330
(630) 820-1554
Mailing address
PO BOX 9042, NAPERVILLE, IL 60567-0042
(630) 820-1330
(630) 820-1554
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038011851
IL
207R00000X
Internal Medicine Physician
038011555
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
038011555
IL
363AM0700X
Medical Physician Assistant
085002931
IL
Other
Enumeration date
05/19/2016
Last updated
09/11/2019
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