Organization Active NPI

Rhicc,LLC

  • Rehabilitation Chiropractor
  • Evergreen Park, IL
National Provider Identifier
1194154955
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038011180 Issued in IL
Legal business name
RHICC,LLC
Practice address
3860 W 95TH St
Unit 6
Evergreen Park, IL 60805-2034
Phone
(708) 529-7111
Fax
(866) 403-6309
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Dr. Marvin Z Jackson Jr., DCNPI 1891957015
Title
Chiropractic Physician
Phone
(708) 529-0413

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
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 038011180 IL Primary

Addresses

Primary practice location

3860 W 95TH St
Unit 6
Evergreen Park, IL 60805-2034

Mailing address

3860 W 95TH St
Unit 6
Evergreen Park, IL 60805-2034
Phone (708) 529-7111

Other names 1

  • Reflections of Health Doing business as

National Provider Directory

National Provider Directory

Locations

3860 W 95th St
Unit 6
Evergreen Park, IL 60805
Phone (630) 634-2942

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1194154955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 W 95TH ST",
            "address_2": "UNIT 6",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052034",
            "telephone_number": "708-529-7111",
            "fax_number": "866-403-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 W 95TH ST",
            "address_2": "UNIT 6",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052034",
            "telephone_number": "708-529-7111",
            "fax_number": "866-403-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHICC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "708-529-0413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038011180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.