JOLIET HEALTH & REHAB, LLC
Complete NPI Record 1467841569
Chiropractor in Chicago, IL
NPI Status: Active since January 13, 2015
Contact Information
910 W VAN BUREN ST
SUITE 232
CHICAGO, IL
ZIP 60607
Phone: (305) 608-9248
- NPI
- Entity Type Code
- Employer Identification Number EIN
- Provider Organization Name Legal Business Name
- Provider First Line Business Mailing Address
- Provider Second Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider First Line Business Practice Location Address
- Provider Second Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Enumeration Date
- Last Update Date
- Authorized Official Last Name
- Authorized Official First Name
- Authorized Official Title or Position
- Authorized Official Telephone Number
- Healthcare Provider Taxonomy Code 1
- Provider License Number 1
- Provider License Number State Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Is Organization Subpart
- Authorized Official Credential Text
- Healthcare Provider Taxonomy Group 1
Complete NPI Dataset
This page represents the complete record for NPI 1467841569. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1467841569
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: UNAVAIL
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider Organization Name Legal Business Name: JOLIET HEALTH & REHAB, LLC
- The first name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: 910 W VAN BUREN ST
- The middle name of the provider, if the provider is an individual.
- Provider Second Line Business Mailing Address: SUITE 232
- The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Business Mailing Address City Name: CHICAGO
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Business Mailing Address State Name: IL
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Business Mailing Address Postal Code: 606073523
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address Country Code If outside U S : US
- The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
- Provider First Line Business Practice Location Address: 910 W VAN BUREN ST
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: SUITE 232
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: CHICAGO
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: IL
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 606073523
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 3056089248
- The telephone number associated with the location address of the provider being identified.
- Provider Enumeration Date: 1/13/2015
- The date the provider was assigned a unique identifier (assigned an NPI).
- Last Update Date: 1/13/2015
- The date that a record was last updated or changed.
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- The first name of the authorized official.
- The title or position of the authorized official.
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 111N00000X
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 038.012017
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number State Code 1: IL
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Healthcare Provider Primary Taxonomy Switch 1: Y
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Is Organization Subpart: N
- Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP