Polo Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

POLO CHIROPRACTIC CENTER PC

Practice address

109 S Franklin Ave
Polo, IL 61064-1713

Phone

(815) 946-9977

Fax

(815) 946-4155

NPI assigned

Oct 26, 2006

Last updated

May 21, 2024By 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

Robert Keith Webb, DCNPI 1952474207

Title

Chiropractor/President

Phone

(815) 946-9977

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Robert Keith Webb, D.C.

  • Chiropractor
  • Polo, IL
  • NPI 1952474207
  Medicare reassignment Care Compare group NPD Authorized official
• Karla J Byrd, D.C.

  • Chiropractor
  • Polo, IL
  • NPI 1033282371
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1144305368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S FRANKLIN AVE",
            "city": "POLO",
            "state": "IL",
            "postal_code": "610641713",
            "telephone_number": "815-946-9977",
            "fax_number": "815-946-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S FRANKLIN AVE",
            "city": "POLO",
            "state": "IL",
            "postal_code": "610641713",
            "telephone_number": "815-946-9977",
            "fax_number": "815-946-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLO CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "815-946-9977",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IL",
            "identifier": "07130356",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie C Grobe, MS,RD
• Kimberli J Guelde, M.D.
• Mid Americacare Foundation (Polo Rehabilitation and Health Care Center)
• Karina Nehrkorn, M.S., CF-SLP
• Henry Oh, D.O.
• Polo Community Ambulance Service
• Polo Community School District #222
• Polo Fire Protection District
• Polo Hco LLC (Polo Rehabilitation & Health Care Center)
• Polo Hco LLC (Polo Rehabilitation & Health Care Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.