Dr. Leah Rose LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. LEAH ROSE LLC

Doing business as

Maverick Chiropractic

Practice address

1100 Sherman Ave Ste 105
Naperville, IL 60563-4855

Phone

(630) 400-7650

NPI assigned

Feb 6, 2020

Last updated

Feb 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leah Guidolin, DC

Title

Owner

Phone

(630) 400-7650

Specialties & licenses 1

Addresses

Other names 1

• Maverick Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Haya Iman Kalota, DC

  • Chiropractor
  • Naperville, IL
  • NPI 1639004518
  NPD (past)

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1083246110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHERMAN AVE STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHERMAN AVE STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634855",
            "telephone_number": "630-400-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEAH ROSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "GUIDOLIN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-400-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maverick Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.