Jorge Antonio Rodriguez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.014194 Issued in IL

Practice address

2634 Patriot Blvd Ste B
Glenview, IL 60026-8024

Phone

(224) 723-5122

Fax

(224) 235-4257

NPI assigned

Sep 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bannockburn Chiropractic and Sports Injury Center, P.C.Group PAC ID 0345427357, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bannockburn Chiropractic & Sports Injury Center PC

  • Chiropractor
  • Bannockburn, IL
  • NPI 1134420011
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1073340220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 PATRIOT BLVD STE B",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "224-723-5122",
            "fax_number": "224-235-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 PATRIOT BLVD STE B",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "224-723-5122",
            "fax_number": "224-235-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JORGE",
        "middle_name": "ANTONIO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Rock, COTA
• Melissa Rodenas, OTR/L
• Allison Kay Rodgers, M.D.
• Judith Rodman, LCPC
• Janny Rodriguez
• Marco Leopoldo Rodriguez
• Pedro Juan Rodriguez Jr.
• Sandra Rodriguez, MD
• Sarah Roe, OTA
• Rogers and Gripentrog LLC (Gallery Park Dental)

• Chiropractor in Glenview, IL
• Providers in Glenview, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.