Envision Health Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012962 Issued in IL

Legal business name

ENVISION HEALTH CLINIC

Practice address

840 S Waukegan Rd
#201
Lake Forest, IL 60045-2608

Phone

(224) 544-5033

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly C Fletcher, DC

Title

Owner

Phone

(224) 544-5033

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Michael Rebmann, D.C

  • Rehabilitation Chiropractor
  • Libertyville, IL
  • NPI 1992884498
  NPD (past)

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1184079782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S WAUKEGAN RD",
            "address_2": "#201",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S WAUKEGAN RD",
            "address_2": "#201",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452608",
            "telephone_number": "224-544-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-544-5033",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011833",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "038011833",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "038012962",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Element Med Spa, LLC
• Kristin Rae Elinski, PA-C
• Madeline Ellis, DNP, AG-ACNP-BC
• Rizamarie E Empeno, MD
• Envision Eye Center LTD
• Equestrian Connection
• Blanca Anais Estupinan, MD
• Eukharis LLC (HomeWell Care Services (IL 207))
• Leslie Evans, M.A., CCC-SLP
• Fahhad Farukhi MD

• Chiropractor in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.