Organization Active NPI

Local Healing Center

  • Clinic/Center
  • Geneva, IL
National Provider Identifier
1255871661
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038013085 Issued in IL
Legal business name
LOCAL HEALING CENTER
Practice address
65 N River LN
Ste 207
Geneva, IL 60134-4519
Phone
(630) 492-0490
NPI assigned
Mar 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Ryan Bakosh, D.C.
Title
Manager
Phone
(630) 492-0490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 038013085 IL Primary

Addresses

Primary practice location

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

Mailing address

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

National Provider Directory

National Provider Directory

Locations

65 N River Ln
Ste 207
Geneva, IL 60134
Phone (630) 208-7760

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1255871661",
    "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"
        },
        {
            "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": {
        "organization_name": "LOCAL HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "BAKOSH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-492-0490",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038013085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.