Active NPI
Fundamental Health, LTD.
- Chiropractor
- Aurora, IL
National Provider Identifier
1679064802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038013042
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.