Ryan Bakosh, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013085 Issued in IL

Practice address

65 N River LN
Ste 207
Geneva, IL 60134-4519

Phone

(630) 492-0490

NPI assigned

Mar 3, 2017

Last updated

Mar 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Local Healing Center

  • Clinic/Center
  • Geneva, IL
  • NPI 1255871661
  Authorized official Same address or phone

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1194265504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N RIVER LN",
            "address_2": "STE 207",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344519",
            "telephone_number": "630-492-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N RIVER LN",
            "address_2": "STE 207",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344519",
            "telephone_number": "630-492-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKOSH",
        "first_name": "RYAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.