Organization Active NPI

Concept Care Medical & Rehab S.C.

  • Chiropractor
  • Downers Grove, IL
National Provider Identifier
1285755108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CONCEPT CARE MEDICAL & REHAB S.C.
Practice address
6234 Main St
Downers Grove, IL 60516-1908
Phone
(630) 960-9914
Fax
(630) 960-9924
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Janet Herzog
Title
Office Manager
Phone
(630) 960-9914

Specialties & licenses 2

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

Addresses

Primary practice location

6234 Main St
Downers Grove, IL 60516-1908

Mailing address

6234 Main St
Downers Grove, IL 60516-1908
Phone (630) 960-9914

Other identifiers 1

IdentifierTypeStateIssuer
2221717OtherILBCBSIL #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285755108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161908",
            "telephone_number": "630-960-9914",
            "fax_number": "630-960-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161908",
            "telephone_number": "630-960-9914",
            "fax_number": "630-960-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT CARE MEDICAL & REHAB S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-960-9914",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL #",
            "identifier": "2221717",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.