Organization Active NPI

Robert Rutkowski DCPC

  • Chiropractor
  • River Grove, IL
National Provider Identifier
1497025068
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038005828 Issued in IL
Legal business name
ROBERT RUTKOWSKI DCPC
Practice address
8528 Grand Ave
River Grove, IL 60171-1437
Phone
(708) 456-6212
Fax
(708) 456-9201
NPI assigned
Jan 12, 2012
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Robert Rutkowski, DCNPI 1588757447
Title
President
Phone
(708) 456-6212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038005828 IL Primary

Addresses

Primary practice location

8528 Grand Ave
River Grove, IL 60171-1437

Mailing address

8528 Grand Ave
River Grove, IL 60171-1437
Phone (708) 456-6212

National Provider Directory

National Provider Directory

Locations

8528 Grand Ave
River Grove, IL 60171
Phone (708) 456-6212

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1497025068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 GRAND AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711437",
            "telephone_number": "708-456-6212",
            "fax_number": "708-456-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8528 GRAND AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711437",
            "telephone_number": "708-456-6212",
            "fax_number": "708-456-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT RUTKOWSKI DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-456-6212",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.