Active NPI
Local Healing Center
- Clinic/Center
- Geneva, IL
National Provider Identifier
1255871661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 038013085
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.