Organization Active NPI

Resilient Spine & Performance PLLC

  • Rehabilitation Chiropractor
  • Naperville, IL
National Provider Identifier
1265124291
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
RESILIENT SPINE & PERFORMANCE PLLC
Practice address
616 W 5TH Ave Ste a
Naperville, IL 60563-2921
Phone
(630) 542-6975
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Dr. Riley Mullins, DC
Title
Member
Phone
(630) 542-6975

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

616 W 5TH Ave Ste a
Naperville, IL 60563-2921

Mailing address

616 W 5TH Ave Ste a
Naperville, IL 60563-2921
Phone (630) 470-9382

National Provider Directory

National Provider Directory

Locations

616 W 5th Ave
Ste A
Naperville, IL 60563
Phone (630) 416-7017

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1265124291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 W 5TH AVE STE A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632921",
            "telephone_number": "630-470-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W 5TH AVE STE A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632921",
            "telephone_number": "630-542-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT SPINE & PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-542-6975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.