NPIMap

Organization Active NPI

Naperville Rehabilitation and Pain Management Center, P.C.

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1003066010
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008360 Issued in IL
Legal business name
NAPERVILLE REHABILITATION AND PAIN MANAGEMENT CENTER, P.C.
Practice address
1750 N Washington St Ste 112C
Naperville, IL 60563-4850
Phone
(630) 961-1888
Fax
(773) 337-9106
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynnette R McRoy
Title
Billing Coordinator
Phone
(773) 767-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038008360 IL Primary

Addresses

Primary practice location

1750 N Washington St Ste 112C
Naperville, IL 60563-4850

Mailing address

1750 N Washington St Ste 112C
Naperville, IL 60563-4850
Phone (630) 961-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081202000523 IL Part B Supplier - Clinic/Group Practice 5799846275 Receives reassigned benefits from 5 practitioners
Practice locations: Romeoville, IL; Naperville, IL

National Provider Directory

National Provider Directory

Locations

5019 Ace Ln
Naperville, IL 60564
Phone (630) 961-1888

445W Jackson Ave
Naperville, IL 60540
Phone (630) 531-5664

20 Fort Hill Dr
Naperville, IL 60540
Phone (630) 961-1888

25 Alexander Cir
Ste 1
Romeoville, IL 60446
Phone (815) 293-3233

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1003066010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N WASHINGTON ST STE 112C",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634850",
            "telephone_number": "630-961-1888",
            "fax_number": "773-337-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N WASHINGTON ST STE 112C",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634850",
            "telephone_number": "630-961-1888",
            "fax_number": "773-337-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE REHABILITATION AND PAIN MANAGEMENT CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "MCROY",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "773-767-3822"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.