Organization Active NPI

Fundamental Health, LTD.

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1679064802
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013042 Issued in IL
Legal business name
FUNDAMENTAL HEALTH, LTD.
Practice address
4255 Westbrook Dr Ste 203
Aurora, IL 60504-8125
Phone
(630) 206-9002
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Dr. Ryan Ardell Robinson, DC
Title
Chiropractor
Phone
(262) 945-4834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038013042 IL Primary

Addresses

Primary practice location

4255 Westbrook Dr Ste 203
Aurora, IL 60504-8125

Mailing address

4255 Westbrook Dr Ste 203
Aurora, IL 60504-8125
Phone (630) 206-9002

National Provider Directory

National Provider Directory

Locations

4255 Westbrook Dr
Ste 203
Aurora, IL 60504
Phone (630) 206-9002

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1679064802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 WESTBROOK DR STE 203",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048125",
            "telephone_number": "630-206-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 WESTBROOK DR STE 203",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048125",
            "telephone_number": "630-206-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTAL HEALTH, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "ARDELL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-945-4834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.