Body Genesis Center for Integrative Medicine LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038.010603 Issued in IL

Legal business name

BODY GENESIS CENTER FOR INTEGRATIVE MEDICINE LLC

Practice address

937 S Mannheim Rd
Westchester, IL 60154-2552

Phone

(708) 343-3368

NPI assigned

May 20, 2009

Last updated

May 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Solomon Liburd, DO

Title

Ceo/President

Phone

(708) 343-3368

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel James Ramos Oller, D.C.

  • Chiropractor
  • Oak Park, IL
  • NPI 1790066884
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1295960276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 S MANNHEIM RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542552",
            "telephone_number": "708-343-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 S MANNHEIM RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542552",
            "telephone_number": "708-343-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY GENESIS CENTER FOR INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "LIBURD",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "708-343-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038.010603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth R Beck, MD
• Benevolence Home Services, LLC
• Carolyn Ann Berkes, M.D.
• Jeffrey P. Bernier, D.D.S.
• Tyler Joseph Biederman, PHARMD
• Body Genesis Holisitc Health and Wellness Center (Body Genesis Center For Integrative Medicine)
• Tess Ann Boghossian
• Benjamin O Border, DPT
• Heather M. Brown, M.D.
• John William Brown, DPT

• Rehabilitation Chiropractor in Westchester, IL
• Providers in Westchester, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.