Reese Family Chiropractic Service Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REESE FAMILY CHIROPRACTIC SERVICE CORPORATION

Practice address

265 N Westgate Ave
Reese Family Chiropractic SC
Jacksonville, IL 62650

Phone

(217) 245-4810

Fax

(217) 245-0931

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas K Reese, DCNPI 1366649592

Title

Chiropractor

Phone

(217) 245-4810

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Douglas K Reese DC Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas K Reese, DC

  • Chiropractor
  • Jacksonville, IL
  • NPI 1366649592
  Medicare reassignment Care Compare group NPD Authorized official
• James Nicholas Martin, D.C

  • Chiropractor
  • Jacksonville, IL
  • NPI 1205204880
  Medicare reassignment Care Compare group NPD
• Timothy Joseph Griesbaum, D.C.

  • Chiropractor
  • Normal, IL
  • NPI 1336245091
  NPD (past)
• Martha Yanez, M.D.

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1255317533
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1386686863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N WESTGATE AVE",
            "address_2": "REESE FAMILY CHIROPRACTIC SC",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "62650",
            "telephone_number": "217-245-4810",
            "fax_number": "217-245-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N WESTGATE AVE",
            "address_2": "REESE FAMILY CHIROPRACTIC SC",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "62650",
            "telephone_number": "217-245-4810",
            "fax_number": "217-245-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REESE FAMILY CHIROPRACTIC SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "217-245-4810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6982010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas K Reese DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Constance Racine Radford, MSOT
• Tara Jean Ramsey, M.D.
• Bethany Danielle Randall, COTA
• Alexander David Raw, MD
• Lynne N Redick
• Douglas K Reese, DC
• Regional Orthopaedics & Sports Medicine Center, LTD.
• Shelley L Reither, LCPC
• Responsive Home Health Care Inc
• Treena M Roads, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.