NPIMap

Organization Active NPI

Restor Healing Centre Inc

  • Internist Chiropractor
  • Wheaton, IL
National Provider Identifier
1326340647
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
038007040 Issued in IL
Legal business name
RESTOR HEALING CENTRE INC
Practice address
416 E Roosevelt Rd
Suite 107
Wheaton, IL 60187-5589
Phone
(630) 682-5090
Fax
(630) 260-1230
NPI assigned
Nov 18, 2010
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Kristina L Sargent, DCNPI 1811909633
Title
Ceo/Physician
Phone
(630) 682-5090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0900X 038007040 IL Primary

Addresses

Primary practice location

416 E Roosevelt Rd
Suite 107
Wheaton, IL 60187-5589

Mailing address

416 E Roosevelt Rd
Suite 107
Wheaton, IL 60187-5589
Phone (630) 682-5090

Other identifiers 1

IdentifierTypeStateIssuer
SPACE HOLDER OTHER IOtherILSPACE HOLDER OTHER ID

National Provider Directory

National Provider Directory

Locations

485 N Main St
Ste D
Glen Ellyn, IL 60137
Phone (630) 682-5090

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1326340647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E ROOSEVELT RD",
            "address_2": "SUITE 107",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875589",
            "telephone_number": "630-682-5090",
            "fax_number": "630-260-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E ROOSEVELT RD",
            "address_2": "SUITE 107",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875589",
            "telephone_number": "630-682-5090",
            "fax_number": "630-260-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTOR HEALING CENTRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "SARGENT",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "630-682-5090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038007040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPACE HOLDER OTHER ID",
            "identifier": "SPACE HOLDER OTHER I",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.