Craig A. Revermann, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

397 N Plum St
Breese, IL 62230-1528

Phone

(618) 526-4700

Fax

(618) 526-4702

NPI assigned

Jul 1, 2005

Last updated

Sep 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Physical Medicine PLLCGroup PAC ID 3173055506, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Physical Medicine PLLC

  • Integrative Medicine Physician
  • Breese, IL
  • NPI 1568226553
  Medicare reassignment Care Compare group NPD Authorized official
• Revermann Chiropractic P.C.

  dba Revermann Chiropractic and Spinal Rehabilitation

  • Chiropractor
  • Breese, IL
  • NPI 1679679286
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1710984042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 N PLUM ST",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301528",
            "telephone_number": "618-526-4700",
            "fax_number": "618-526-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 N PLUM ST",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301528",
            "telephone_number": "618-526-4700",
            "fax_number": "618-526-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVERMANN",
        "first_name": "CRAIG",
        "middle_name": "A.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00110681",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "627838",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karlee Margaret Rehkemper
• Lydia Rehkemper, RD
• Jamie Reilmann
• Rem Sleep Lab
• Revermann Chiropractic P.C. (Revermann Chiropractic and Spinal Rehabilitation)
• Gregory Reynolds, C.R.N.A.
• Emily Rhoades, NP
• Bethany Ricciardi, LCSW
• Dennis Joseph Riechman, FNP-BC
• Right From the Start Pediatrics

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.