NPIMap

Organization Active NPI

Churchill Physical Health Center SC

  • Chiropractor
  • Joliet, IL
National Provider Identifier
1215058045
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006857 Issued in IL
Legal business name
CHURCHILL PHYSICAL HEALTH CENTER SC
Practice address
823 N 129TH Infantry Dr
Joliet, IL 60435-8346
Phone
(815) 741-3200
Fax
(815) 741-8131
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Dr. Rhonda Cook, D.C.NPI 1306995212
Title
Co-Owner
Phone
(815) 741-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038006857 IL Primary

Addresses

Primary practice location

823 N 129TH Infantry Dr
Joliet, IL 60435-8346

Mailing address

823 N 129TH Infantry Dr
Joliet, IL 60435-8346
Phone (815) 741-3200

Other identifiers 3

IdentifierTypeStateIssuer
1639228539OtherILNPI
1306995212OtherILNPI
1619027224OtherILNPI

National Provider Directory

National Provider Directory

Locations

823 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 729-9527

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1215058045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 N 129TH INFANTRY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358346",
            "telephone_number": "815-741-3200",
            "fax_number": "815-741-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 N 129TH INFANTRY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358346",
            "telephone_number": "815-741-3200",
            "fax_number": "815-741-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCHILL PHYSICAL HEALTH CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "815-741-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639228539",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306995212",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619027224",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.