NPIMap

Organization Active NPI

Realhealth Advanced Care SC

  • Physical Medicine & Rehabilitation Physician
  • East Peoria, IL
National Provider Identifier
1710371935
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036-072380 Issued in IL
Legal business name
REALHEALTH ADVANCED CARE SC
Practice address
328 W Washington St
East Peoria, IL 61611-2036
Phone
(309) 682-9000
NPI assigned
Mar 25, 2015
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Aaron Sparks, DCNPI 1124323993
Title
Owner/Chiropractor
Phone
(309) 682-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036-072380 IL Primary

Addresses

Primary practice location

328 W Washington St
East Peoria, IL 61611-2036

Mailing address

328 W Washington St
East Peoria, IL 61611-2036
Phone (309) 682-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150603000968 IL Part B Supplier - Clinic/Group Practice 5890016836 Receives reassigned benefits from 11 practitioners
Practice locations: East Peoria, IL

National Provider Directory

National Provider Directory

Locations

328 W Washington St
East Peoria, IL 61611
Phone (309) 682-9000

4306 N Sheridan Rd
Peoria, IL 61614
Phone (309) 682-9000

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1710371935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 W WASHINGTON ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112036",
            "telephone_number": "309-682-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W WASHINGTON ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112036",
            "telephone_number": "309-682-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALHEALTH ADVANCED CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "309-682-9000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-072380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.