Individual provider Active NPI

Jennifer Kay Breuer-Harej, D.C.

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1568609691
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011006 Issued in IL
Practice address
24020 W Riverwalk CT
Suite 118
Plainfield, IL 60544-7103
Phone
(815) 782-7097
Fax
(815) 782-7167
NPI assigned
Jan 12, 2009
Last updated
Jun 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011006 IL Primary

Addresses

Primary practice location

24020 W Riverwalk CT
Suite 118
Plainfield, IL 60544-7103

Mailing address

24020 W Riverwalk CT
Suite 118
Plainfield, IL 60544-7103
Phone (815) 782-7097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310001076 IL Practitioner - Chiropractic 6406038538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthsource of Plainfield LTDGroup PAC ID 0547326753, 2 clinicians

Practice addresses (Care Compare)

24020 W Riverwalk CT
Suite 116
Plainfield, IL 60544-7122
Phone (815) 782-7097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011006ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Plainfield LTD Chiropractor CurrentSince Mar 14, 2013 Accepting new patients
JBH Medical Corporation LTD Chiropractor PastSince Aug 1, 2014 Accepting new patients

Locations

24020 W Riverwalk Ct
Plainfield, IL 60544
Phone (815) 345-5292

24020 W Riverwalk Ct
Ste 118
Plainfield, IL 60544
Phone (815) 782-7097

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1568609691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24020 W RIVERWALK CT",
            "address_2": "SUITE 118",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605447103",
            "telephone_number": "815-782-7097",
            "fax_number": "815-782-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24020 W RIVERWALK CT",
            "address_2": "SUITE 118",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605447103",
            "telephone_number": "815-782-7097",
            "fax_number": "815-782-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUER-HAREJ",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.