Organization Active NPI

JBH Medical Corporation LTD

  • Chiropractor
  • Bolingbrook, IL
National Provider Identifier
1255740635
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009393 Issued in IL
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

Updated by the provider on Aug 20, 2020

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038011006 IL
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.