Brain Health Restoration Illinois LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BRAIN HEALTH RESTORATION ILLINOIS LLC

Practice address

1111 N Plaza Dr Ste 101
Schaumburg, IL 60173-4916

Phone

(775) 507-7024

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Walter Marting

Title

Owner

Phone

(775) 742-4911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1700653961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N PLAZA DR STE 101",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N PLAZA DR STE 101",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734916",
            "telephone_number": "775-507-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN HEALTH RESTORATION ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "MARTING",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-742-4911"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Bowersmith, LMFT
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• Thomas Orla Brammeier, D.D.S.
• Catherine Lee Branagan, PT
• Amber Clare Brancaleon
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• General Practice Physician in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.