Provider Demographics
NPI:1235670548
Name:SMART SPINE AND REHAB LTD
Entity Type:Organization
Organization Name:SMART SPINE AND REHAB LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:FELDMAN
Authorized Official - Last Name:CHERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-416-6173
Mailing Address - Street 1:730 W NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-2640
Mailing Address - Country:US
Mailing Address - Phone:847-416-6173
Mailing Address - Fax:847-304-4417
Practice Address - Street 1:730 W NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2640
Practice Address - Country:US
Practice Address - Phone:847-416-6173
Practice Address - Fax:847-304-4417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012904111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty