Organization Active NPI

Rosenthal Chiropractic Clinic

  • Exclusive Provider Organization
  • Galena, IL
National Provider Identifier
1356754592
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
038011927 Issued in IL
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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.NPI 1134458474
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.