Active NPI
Rosenthal Chiropractic Clinic
- Exclusive Provider Organization
- Galena, IL
National Provider Identifier
1356754592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 038011927
- Legal business name
- ROSENTHAL CHIROPRACTIC CLINIC
- Practice address
- 202 Summit St
Galena, IL 61036-1636 - Phone
- (815) 776-0595
- Fax
- (815) 776-0595
- NPI assigned
- Jun 5, 2014
- Last updated
- Jun 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rebecca Ann Rosenthal, D.C.
- Title
- Chiropractor
- Phone
- (815) 776-0595
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 038011927 | IL | Primary |
| Exclusive Provider Organization | 302F00000X | 007243 | IA | |
| Exclusive Provider Organization | 302F00000X | 4551012 | WI |
Addresses
Primary practice location
202 Summit St
Galena, IL 61036-1636
Mailing address
202 Summit St
Galena, IL 61036-1636
Phone (815) 776-0595
National Provider Directory
National Provider DirectoryLocations
202 Summit St
Galena, IL 61036
Phone (815) 776-0595
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.
-
- Chiropractor
- Galena, IL
- NPI 1134458474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401926400000",
"number": "1356754592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 SUMMIT ST",
"city": "GALENA",
"state": "IL",
"postal_code": "610361636",
"telephone_number": "815-776-0595",
"fax_number": "815-776-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 SUMMIT ST",
"city": "GALENA",
"state": "IL",
"postal_code": "610361636",
"telephone_number": "815-776-0595",
"fax_number": "815-776-0595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSENTHAL CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A",
"authorized_official_last_name": "ROSENTHAL",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "815-776-0595",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "IL",
"license": "038011927",
"primary": true
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "IA",
"license": "007243",
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "WI",
"license": "4551012",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.