Individual provider Active NPI

Agnieszka Rabrich, D.C.

  • Chiropractor
  • Willow Springs, IL
National Provider Identifier
1407253909
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012721 Issued in IL
Practice address
8240 Wolf Rd
Willow Springs, IL 60480-1084
Phone
(708) 457-8000
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012721 IL Primary

Addresses

Primary practice location

8240 Wolf Rd
Willow Springs, IL 60480-1084

Mailing address

2625 Butterfield Rd Ste 301N
Oak Brook, IL 60523-1266
Phone (630) 468-1824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150115001076 IL Practitioner - Chiropractic 2860716107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2517 S 174TH Plaza
Omaha, NE 68130

2625 Butterfield Rd
Suite 301N
Oak Brook, IL 60523-3416

539 W Commerce St
Dallas, TX 75208-1953

8323 W Lawrence Ave
Suite Aandb
Norridge, IL 60706-3118

8600 W Bryn Mawr Ave
Suite 100N
Chicago, IL 60631-3544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012721ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Chiropractic Cumberland PLLC Chiropractor CurrentSince May 15, 2022 Accepting new patients
Lifeworks Health Centers of Schaumburg Chiropractor Past Accepting new patients

Locations

8600 W Bryn Mawr Ave
Ste 100N
Chicago, IL 60631
Phone (773) 930-4031

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1407253909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 WOLF RD",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801084",
            "telephone_number": "708-457-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABRICH",
        "first_name": "AGNIESZKA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.