Reflections of Health Integrative Care Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011180 Issued in IL

Legal business name

REFLECTIONS OF HEALTH INTEGRATIVE CARE CENTER, LLC

Practice address

2950 W Washington Blvd
Martin Luther King Jr. Boys & Girls Club BLDG
Chicago, IL 60612-1934

Phone

(773) 826-9455

Fax

(866) 403-6309

NPI assigned

Apr 8, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Rose Stark, LCMT, CPFT

Title

Founder/Ceo/Administrative Dir.

Phone

(773) 826-9455

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marvin Zebedee Jackson Jr., B.S.,D.C.

  • Chiropractor
  • Forest Park, IL
  • NPI 1891957015
  NPD (past)

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1710120647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 W WASHINGTON BLVD",
            "address_2": "MARTIN LUTHER KING JR. BOYS & GIRLS CLUB BLDG",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121934",
            "telephone_number": "773-826-9455",
            "fax_number": "866-403-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W WASHINGTON BLVD",
            "address_2": "MARTIN LUTHER KING JR. BOYS & GIRLS CLUB BLDG",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121934",
            "telephone_number": "773-826-9455",
            "fax_number": "866-403-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS OF HEALTH INTEGRATIVE CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "FOUNDER/CEO/ADMINISTRATIVE DIR.",
        "authorized_official_telephone_number": "773-826-9455",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCMT, CPFT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Kyle Reetz, BCBA
• Robert E Reeves, M.D.
• Ward A Reeves
• April Kay Refendor, APRN, FNP-BC
• Refinedrx Health PLLC
• Reflective Therapy & Consulting PLLC
• Reflex PT
• Erika Marie Regacho, DNP, PMHNP-BC
• Paul Alpert C Regacho, MOT
• Regal Care Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.