Restore Health and Wellness PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RESTORE HEALTH AND WELLNESS PC

Practice address

23819 W Mill St
Plainfield, IL 60544-3457

Phone

(708) 625-6652

NPI assigned

Sep 18, 2018

Last updated

Nov 7, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

RESTORE HEALTH AND WELLNESSAs reported in NPPES

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

Authorized official

Name

Dr. Renee Bonarek Luksa, DCNPI 1295147452

Title

President

Phone

(708) 408-1957

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Restore Health and Wellness

Locations

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.

• Renee Bonarek Luksa, D.C.

  • Chiropractor
  • Plainfield, IL
  • NPI 1295147452
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1366926107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 LIBERTY GROVE BLVD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442589",
            "telephone_number": "708-408-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23819 W MILL ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443457",
            "telephone_number": "708-625-6652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25101 Liberty Grove Blvd",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605442589",
            "country_code": "US",
            "telephone_number": "708-408-1957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORE HEALTH AND WELLNESS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORE HEALTH AND WELLNESS",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "LUKSA",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "BONAREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-408-1957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "1295147452",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.