Restoration Health & Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-011411 Issued in IL

Legal business name

RESTORATION HEALTH & CHIROPRACTIC

Practice address

365 E. Bailey Rd.
Naperville, IL 60565

Phone

(630) 506-7758

Fax

(630) 364-2133

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Colleen Renee Fazio, D.C.NPI 1992039580

Title

Owner / Manager

Phone

(901) 335-6006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Renee Fazio, D.C.

  • Chiropractor
  • Naperville, IL
  • NPI 1992039580
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1699179010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 E. BAILEY RD.",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60565",
            "telephone_number": "630-506-7758",
            "fax_number": "630-364-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 E. BAILEY RD.",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60565",
            "telephone_number": "630-506-7758",
            "fax_number": "630-364-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION HEALTH & CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "FAZIO",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "901-335-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-011411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Renn
• Rodolfo Renteria, ED.S NCSP
• Andia Mitri Renz, MD
• Resilient Spine & Performance PLLC
• Resolve Counseling PLLC
• Results Driven Healthcare Inc
• Thecla Ann Rettberg, R.N.,IBCLC,RLC,CIMI
• Amanda Retzer, MSW, LSW, CADC
• Revelations RX PLLC
• Revive Dentistry LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.