NPIMap

Organization Active NPI

Revive Health Center, SC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1093100414
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011472 Issued in IL
Legal business name
REVIVE HEALTH CENTER, SC
Practice address
3420 Lacrosse LN
Suite 100, Office 2
Naperville, IL 60564-8245
Phone
(630) 637-3420
Fax
(630) 637-3402
NPI assigned
Apr 2, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Dr. Rebecca Lamarche, DCNPI 1700113578
Title
Owner/Chiropractic Physician
Phone
(630) 637-3420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011472 IL Primary

Addresses

Primary practice location

3420 Lacrosse LN
Suite 100, Office 2
Naperville, IL 60564-8245

Mailing address

3420 Lacrosse LN
Suite 100, Office 2
Naperville, IL 60564-8245
Phone (630) 637-3420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150701000548 IL Part B Supplier - Clinic/Group Practice 5395057525 Receives reassigned benefits from 2 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

1999 Springbrook Square Dr
Ste 103
Naperville, IL 60564
Phone (630) 637-3420

3420 Lacrosse Ln
Ste 100
Naperville, IL 60564
Phone (630) 312-9916

Practitioners & affiliated clinicians

Practitioners 7

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": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1093100414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 LACROSSE LN",
            "address_2": "SUITE 100, OFFICE 2",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648245",
            "telephone_number": "630-637-3420",
            "fax_number": "630-637-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 LACROSSE LN",
            "address_2": "SUITE 100, OFFICE 2",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648245",
            "telephone_number": "630-637-3420",
            "fax_number": "630-637-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE HEALTH CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "LAMARCHE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "630-637-3420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011472",
            "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 Jul 14, 2015; 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.