Individual provider Active NPI

Victoria Roessl, D.C.

  • Chiropractor
  • Bartlett, IL
National Provider Identifier
1205073038
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011309 Issued in IL
Practice address
260 E Army Trail Rd
Suite D
Bartlett, IL 60103-3005
Phone
(630) 830-8600
NPI assigned
Jan 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011309 IL Primary

Addresses

Primary practice location

260 E Army Trail Rd
Suite D
Bartlett, IL 60103-3005

Mailing address

260 E Army Trail Rd
Suite D
Bartlett, IL 60103-3005
Phone (630) 830-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038.011309ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1205073038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E ARMY TRAIL RD",
            "address_2": "SUITE D",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033005",
            "telephone_number": "630-830-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E ARMY TRAIL RD",
            "address_2": "SUITE D",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033005",
            "telephone_number": "630-830-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESSL",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.