Jackson Chiropractic & Rehabilitation, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACKSON CHIROPRACTIC & REHABILITATION, LLC

Practice address

3860 W 95TH St
Unit 6
Evergreen Park, IL 60805-2034

Phone

(708) 529-7111

Fax

(866) 403-6309

NPI assigned

Nov 6, 2013

Organization subpart

Yes

Parent organization

RHICC, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Marvin Z Jackson Jr., D.C.

Title

Chiropractic Physician

Phone

(708) 529-7111

Specialties & licenses 1

Addresses

Part of

Rhiccllc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Rhicc,LLC

  • Rehabilitation Chiropractor
  • Evergreen Park, IL
  • NPI 1194154955
  NPPES parent name

Practitioners 2

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

• Daniel Davila, DC

  • Chiropractor
  • Hinsdale, IL
  • NPI 1609157155
  NPD (past)
• Rosen Gerald Gavino

  • Physical Therapist
  • Lisle, IL
  • NPI 1174559058
  NPD (past)

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1023447448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 W 95TH ST",
            "address_2": "UNIT 6",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052034",
            "telephone_number": "708-529-7111",
            "fax_number": "866-403-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 W 95TH ST",
            "address_2": "UNIT 6",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052034",
            "telephone_number": "708-529-7111",
            "fax_number": "866-403-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CHIROPRACTIC & REHABILITATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RHICC, LLC",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "708-529-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyacinth Home Health Inc.
• Joice Illimoottil, APN
• Giuseppina Francesca Impellizzeri, MA, LCPC, ATR
• Integral Health and Community Services LLC
• Anita Iyer, M.D.
• Tom Jacobs, LCPC
• Louay Jajeh, DO
• Amy A Janda, PA
• Rachel L Janke, CCC-SLP
• Jannet Laplanche D.D.S. P.C.

• Chiropractor in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.