Organization Active NPI

Reinforce Health & Wellness, P.C.

  • Chiropractor
  • Roselle, IL
National Provider Identifier
1639448236
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011900 Issued in IL
Legal business name
REINFORCE HEALTH & WELLNESS, P.C.
Practice address
805 E Irving Park Rd
Suite B
Roselle, IL 60172-4320
Phone
(630) 893-4000
NPI assigned
Dec 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Dr. David Kim, D.C.NPI 1104125137
Title
President
Phone
(847) 208-6438

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011900 IL Primary

Addresses

Primary practice location

805 E Irving Park Rd
Suite B
Roselle, IL 60172-4320

Mailing address

805 E Irving Park Rd
Suite B
Roselle, IL 60172-4320
Phone (630) 893-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120725000372 IL Part B Supplier - Clinic/Group Practice 3678739398 Receives reassigned benefits from 2 practitioners
Practice locations: Roselle, IL

National Provider Directory

National Provider Directory

Locations

805 E Irving Park Rd
Ste B
Roselle, IL 60172
Phone (630) 893-4000

636 E Irving Park Rd
Roselle, IL 60172
Phone (630) 893-4000

Practitioners & affiliated clinicians

Practitioners 2

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": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1639448236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E IRVING PARK RD",
            "address_2": "SUITE B",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724320",
            "telephone_number": "630-893-4000",
            "fax_number": "630-893-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E IRVING PARK RD",
            "address_2": "SUITE B",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724320",
            "telephone_number": "630-893-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINFORCE HEALTH & WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-208-6438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.