Organization Active NPI

Rose Fitness & Wellness, Inc.

  • Chiropractor
  • Romeoville, IL
National Provider Identifier
1558550970
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROSE FITNESS & WELLNESS, INC.
Practice address
1280 Windham Pkwy
Romeoville, IL 60446-1673
Phone
(630) 226-5660
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Mrs. Rosemary Miller, LMT
Title
Office MGR
Phone
(630) 226-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

1280 Windham Pkwy
Romeoville, IL 60446-1673

Mailing address

1280 Windham Pkwy
Romeoville, IL 60446-1673
Phone (630) 226-5660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624000824 IL Part B Supplier - Clinic/Group Practice 5799761532 Receives reassigned benefits from 1 practitioner
Practice locations: Romeoville, IL

National Provider Directory

National Provider Directory

Locations

325 N Schmidt Rd
Bolingbrook, IL 60440
Phone (630) 226-5660

1225 W Lakeview Ct
Romeoville, IL 60446
Phone (630) 226-5660

1280 Windham Pkwy
Romeoville, IL 60446
Phone (630) 226-5660

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1558550970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 WINDHAM PKWY",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461673",
            "telephone_number": "630-226-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 WINDHAM PKWY",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461673",
            "telephone_number": "630-226-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE FITNESS & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "630-226-5660",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.