NPIMap

Organization Active NPI

Rehabilitation Associates of Northern

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1083771216
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REHABILITATION ASSOCIATES OF NORTHERN
Practice address
6116 Mulford Village Dr
Rockford, IL 61107-6657
Phone
(815) 398-7264
Fax
(815) 229-7264
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karl J. Klosowski, D.C.NPI 1497700876
Title
Owner
Phone
(814) 398-7264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

6116 Mulford Village Dr
Rockford, IL 61107-6657

Mailing address

6116 Mulford Village Dr
Rockford, IL 61107-6657
Phone (815) 398-7264

Other names 1

  • Rehabilitation Associates of Northern Illinois LTD Other name

National Provider Directory

National Provider Directory

Locations

4186 N Perryville Rd
Loves Park, IL 61111
Phone (779) 475-3144

6116 Mulford Village Dr
Rockford, IL 61107
Phone (815) 398-7264

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083771216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 MULFORD VILLAGE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076657",
            "telephone_number": "815-398-7264",
            "fax_number": "815-229-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 MULFORD VILLAGE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076657",
            "telephone_number": "815-398-7264",
            "fax_number": "815-229-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION ASSOCIATES OF NORTHERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLOSOWSKI",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-398-7264",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Associates of Northern Illinois LTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.