J. Grant Reffell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007087 Issued in IL

Practice address

20876 N. Rand Rd.
Deer Park, IL 60010

Phone

(847) 726-0044

NPI assigned

Feb 12, 2007

Last updated

Nov 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• National Pain Centers LLC

  • Interventional Pain Medicine Physician
  • Deer Park, IL
  • NPI 1578868642
  Medicare reassignment
• Integrative Rehabilitation Center, SC

  • Chiropractor
  • Rockford, IL
  • NPI 1144342221
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415491200000",
    "number": "1326180977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20876 N. RAND RD.",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-726-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20876 N. RAND RD.",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-726-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFFELL",
        "first_name": "J. GRANT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2014-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4905020",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darshan Patel, MD
• Jenean Poley, LCPC
• Bruce N Privatsky, DDS
• Carole R Proebstle, PSY.D.
• Kelsey L Proehl, FNP-BC
• Retreat Care Group, P.a.
• Serena Salerno, DC
• Seraphic Family Care and Wellness LLC
• Serena Kleinstub DC, P.C. (Deer Park Chiropractic)
• Taylor Sheahen, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.