Redeeming Health at Lardi Clinic LLC
Organization Active NPI Chiropractor · Coal City, IL
NPI 1346921855 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1346921855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- REDEEMING HEALTH AT LARDI CLINIC LLC
- Practice address
- 495 E 1St St
Coal City, IL 60416-1633 - Phone
- (815) 634-3750
- Fax
- (815) 634-3766
- NPI assigned
- Jul 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Kelly Lardi, DC
- Title
- President
- Phone
- (815) 634-3750
Practitioners 3
-
Kelly Lardi, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230901003330 | IL | Part B Supplier - Clinic/Group Practice | 6305209636 |
Receives reassigned benefits from 3 practitioners Practice locations: Coal City, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
495 E 1St St
Coal City, IL 60416-1633
Mailing address
495 E 1St St
Coal City, IL 60416-1633
Phone (815) 634-3750
Other providers in Coal City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.