Provider Demographics
NPI:1497872030
Name:MUSCLES IN MOTION
Entity Type:Organization
Organization Name:MUSCLES IN MOTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-553-1876
Mailing Address - Street 1:54 W COUNTRYSIDE PKWY
Mailing Address - Street 2:STE D
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-1877
Mailing Address - Country:US
Mailing Address - Phone:630-553-1876
Mailing Address - Fax:630-553-1663
Practice Address - Street 1:54 W COUNTRYSIDE PKWY
Practice Address - Street 2:STE D
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-1877
Practice Address - Country:US
Practice Address - Phone:630-553-1876
Practice Address - Fax:630-553-1663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL937720Medicare ID - Type Unspecified