Active NPI
JBH Medical Corporation LTD
- Chiropractor
- Bolingbrook, IL
National Provider Identifier
1255740635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009393
- Legal business name
- JBH MEDICAL CORPORATION LTD
- Doing business as
- HealthSource of Bolingbrook
- Practice address
- 440 W Boughton Rd Ste 102
Bolingbrook, IL 60440-1400 - Phone
- (630) 759-8989
- NPI assigned
- Aug 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brady James Schuyler
- Title
- Owner
- Phone
- (630) 253-5505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011006 | IL | |
| Chiropractor | 111N00000X | 038009393 | IL | Primary |
Addresses
Primary practice location
440 W Boughton Rd Ste 102
Bolingbrook, IL 60440-1400
Mailing address
440 W Boughton Rd Ste 102
Bolingbrook, IL 60440-1400
Phone (630) 759-8989
Other practice location 1
16119 Weber Rd
Crest Hill, IL 60403-8742
Phone (815) 556-8093
Other names 1
- HealthSource of Bolingbrook
National Provider Directory
National Provider DirectoryLocations
16119 Weber Rd
Crest Hill, IL 60403
Phone (815) 556-8093
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Plainfield, IL
- NPI 1568609691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597881600000",
"number": "1255740635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 W BOUGHTON RD STE 102",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401400",
"telephone_number": "630-759-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 W BOUGHTON RD STE 102",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401400",
"telephone_number": "630-759-8989"
}
],
"practiceLocations": [
{
"address_1": "16119 Weber Rd",
"address_purpose": "LOCATION",
"city": "Crest Hill",
"state": "IL",
"postal_code": "604038742",
"country_code": "US",
"telephone_number": "815-556-8093",
"fax_number": "815-267-6355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JBH MEDICAL CORPORATION LTD",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-11",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A",
"authorized_official_last_name": "SCHUYLER",
"authorized_official_first_name": "BRADY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-253-5505"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038011006",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038009393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthSource of Bolingbrook",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HealthSource of Bolingbrook",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.