Renee Marie Andino

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010991 Issued in IL

Practice address

7264 Argus Dr
Rockford, IL 61107-5837

Phone

(815) 877-5575

Fax

(815) 877-5550

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Andino Chiropractic Clinic PCGroup PAC ID 7810117405, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andino Chiropractic Clinic PC

  • Chiropractor
  • Rockford, IL
  • NPI 1669453056
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1689794141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7264 ARGUS DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075837",
            "telephone_number": "815-877-5575",
            "fax_number": "815-877-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7264 ARGUS DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075837",
            "telephone_number": "815-877-5575",
            "fax_number": "815-877-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDINO",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06241",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin D Anderson, LCSW
• Marian Anderson, CD(DONA)
• Mary Elizabeth Anderson, M.A. CCC-SLP/L
• Andino Chiropractic
• Andino Chiropractic Clinic PC
• Robert Leonard Andino, DC
• Andrea K Gale DC, LLC
• Rebecca Davis Andreano
• Katrine Andreasen, D.M.D., MS
• Rizalyn Andres

• Chiropractor in Rockford, IL
• Providers in Rockford, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.