Axiom Healthcare of Rosiclare LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AXIOM HEALTHCARE OF ROSICLARE LLC

Doing business as

Axiom Healthcare Of Rosiclare

Practice address

1807 Fairview Rd
Rosiclare, IL 62982-1006

Phone

(618) 285-3655

NPI assigned

Sep 18, 2024

Last updated

Nov 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Spector

Title

VP of Revenue Cycle Management

Phone

(847) 262-3800

Specialties & licenses 1

Addresses

Other names 1

• Axiom Healthcare Of Rosiclare Doing business as

Electronic endpoints 1

Tax ID family

Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Axiom Healthcare of Rosiclare LLC

  dba Axiom Healthcare of Rosiclare

  • Skilled Nursing Facility
  • Rosiclare, IL
  • NPI 1376370874
  NPD tax ID

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1467289967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 W CHASE AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121605",
            "telephone_number": "847-262-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 FAIRVIEW RD",
            "city": "ROSICLARE",
            "state": "IL",
            "postal_code": "629821006",
            "telephone_number": "618-285-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM HEALTHCARE OF ROSICLARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "847-262-3800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Axiom Healthcare Of Rosiclare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Marie Adams
• Alliance Imaging Inc
• Arrowleaf
• Axiom Healthcare of Rosiclare LLC (Axiom Healthcare of Rosiclare)
• James C Bowman, MD
• Eladio M Chatto, MD
• Mirabela Cruson
• Amanda Lea Etienne, PHARMD
• Amber Frailey, FNP-BC

• Durable Medical Equipment & Medical Supplies in Rosiclare, IL
• Providers in Rosiclare, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.