Organization Active NPI

Inertia Health Center, S.C.

  • Chiropractor
  • Rolling Meadows, IL
National Provider Identifier
1336432053
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011935 Issued in IL
Legal business name
INERTIA HEALTH CENTER, S.C.
Practice address
1821 Hicks Rd
Suite B
Rolling Meadows, IL 60008-1274
Phone
(847) 496-7175
NPI assigned
May 27, 2011
Last updated
Nov 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Dr. Kyle S Goerschler, DCNPI 1891088936
Title
Owner
Phone
(847) 496-7175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011935 IL Primary

Addresses

Primary practice location

1821 Hicks Rd
Suite B
Rolling Meadows, IL 60008-1274

Mailing address

1821 Hicks Rd
Suite B
Rolling Meadows, IL 60008-1274
Phone (847) 496-7175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000255 IL Part B Supplier - Clinic/Group Practice 6002080447 Receives reassigned benefits from 1 practitioner
Practice locations: Rolling Meadows, IL

National Provider Directory

National Provider Directory

Locations

1821 Hicks Rd
Ste B
Rolling Meadows, IL 60008
Phone (847) 496-7175

Practitioners & affiliated clinicians

Practitioners 3

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": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1336432053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 HICKS RD",
            "address_2": "SUITE B",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081274",
            "telephone_number": "847-496-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 HICKS RD",
            "address_2": "SUITE B",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081274",
            "telephone_number": "847-496-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INERTIA HEALTH CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "GOERSCHLER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-496-7175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.