Provider Demographics
NPI:1407210693
Name:F.I.T. SPORT AND SPINE
Entity Type:Organization
Organization Name:F.I.T. SPORT AND SPINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:MEETING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-901-9299
Mailing Address - Street 1:1725 CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-1720
Mailing Address - Country:US
Mailing Address - Phone:847-901-9299
Mailing Address - Fax:847-510-0743
Practice Address - Street 1:1725 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-1720
Practice Address - Country:US
Practice Address - Phone:847-901-9299
Practice Address - Fax:847-510-0743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010983111N00000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty