Individual provider Active NPI

Renee Bonarek Luksa, D.C.

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1295147452
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012621 Issued in IL
Practice address
23819 W Mill St
Plainfield, IL 60544-3457
Phone
(708) 625-6652
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012621 IL Primary

Addresses

Primary practice location

23819 W Mill St
Plainfield, IL 60544-3457

Mailing address

25101 Liberty Grove Blvd
Plainfield, IL 60544-2589
Phone (708) 408-1957

Other practice location 1

25101 Liberty Grove Blvd
Plainfield, IL 60544-2589
Phone (708) 408-1957

Other names 1

  • Dr. Renee Jessica Bonarek Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006001545 IL Practitioner - Chiropractic 9234359761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15032 S Illinois St
Suite 102
Plainfield, IL 60544-2841
Phone (708) 625-6652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012621ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Health and Wellness PC Chiropractor CurrentSince Nov 7, 2018 Accepting new patients

Locations

23819 W Mill St
Plainfield, IL 60544
Phone (630) 956-1566

15032 S Illinois St
Ste 102
Plainfield, IL 60544
Phone (708) 625-6652

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1295147452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 LIBERTY GROVE BLVD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442589",
            "telephone_number": "708-408-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23819 W MILL ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443457",
            "telephone_number": "708-625-6652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25101 Liberty Grove Blvd",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605442589",
            "country_code": "US",
            "telephone_number": "708-408-1957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKSA",
        "first_name": "RENEE",
        "middle_name": "BONAREK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "BONAREK",
            "middle_name": "JESSICA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.