Organization Active NPI

Northern Light Care, Inc

Doing business as Johnsburg Chiropractic and Wellness Center

  • Chiropractor
  • Johnsburg, IL
National Provider Identifier
1487667309
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010000 Issued in IL
Legal business name
NORTHERN LIGHT CARE, INC
Doing business as
Johnsburg Chiropractic and Wellness Center
Practice address
2302 W Johnsburg Rd Unit 1
Johnsburg, IL 60051-5212
Phone
(815) 344-0113
Fax
(815) 344-8124
NPI assigned
Aug 14, 2006
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Dr. Rachel Northern, DC, CACCPNPI 1043231855
Title
Owner/President
Phone
(815) 344-0113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010000 IL Primary

Addresses

Primary practice location

2302 W Johnsburg Rd Unit 1
Johnsburg, IL 60051-5212

Mailing address

2302 W Johnsburg Rd Unit 1
Johnsburg, IL 60051-5212
Phone (815) 344-0113

Other names 1

  • Johnsburg Chiropractic and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000681 IL Part B Supplier - Clinic/Group Practice 8426043480 Receives reassigned benefits from 1 practitioner
Practice locations: Johnsburg, IL

National Provider Directory

National Provider Directory

Locations

2302 W Johnsburg Rd
Ste 1
Johnsburg, IL 60051
Phone (815) 344-0113

3520 Chapel Hill Rd
Johnsburg, IL 60051
Phone (815) 344-0113

3714 Fairview Ave
Ste D3
Johnsburg, IL 60051
Phone (815) 344-0113

Practitioners & affiliated clinicians

Practitioners 2

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1487667309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 W JOHNSBURG RD UNIT 1",
            "city": "JOHNSBURG",
            "state": "IL",
            "postal_code": "600515212",
            "telephone_number": "815-344-0113",
            "fax_number": "815-344-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W JOHNSBURG RD UNIT 1",
            "city": "JOHNSBURG",
            "state": "IL",
            "postal_code": "600515212",
            "telephone_number": "815-344-0113",
            "fax_number": "815-344-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "NORTHERN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "815-344-0113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CACCP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnsburg Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnsburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.