Premier Medical Rehabilitation SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PREMIER MEDICAL REHABILITATION SC

Practice address

1820 Windsor Rd
Loves Park, IL 61111-4271

Phone

(815) 986-4411

NPI assigned

Sep 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mario N Rosales, DC

Title

Owner

Phone

(815) 986-4411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1255948436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 WINDSOR RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WINDSOR RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114271",
            "telephone_number": "815-986-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL REHABILITATION SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-986-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen G. Platzbecker, LPC
• Wieslaw J. Podlasek, M.D.
• Pointcore, Inc.
• Steven D Pooley, DDS
• Drew Alexander Potter, ATC, LAT
• Rebeca Frances Pritchard, MSN, APRN, FNP-BC
• Professional Medical Staffing Corp.
• Progressive Chiropractic Wellness & Rehab Centre, P.C.
• Vincent J. Quinlan, M.D.
• Meagan Elizabeth Quinn, MS, LAT, ATC

• Chiropractor in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.