Joint & Spine Rehabilitation of Northern Illinois

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

038-004203 Issued in IL

Legal business name

JOINT & SPINE REHABILITATION OF NORTHERN ILLINOIS

Practice address

1866 Sheridan Rd Ste 317
Highland Park, IL 60035-2546

Phone

(847) 266-0960

Fax

(847) 266-0961

NPI assigned

Mar 2, 2007

Last updated

Sep 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos M Boileve, DCNPI 1639275506

Title

Director

Phone

(847) 266-0960

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Carlos M Boileve, DC

  • Chiropractor
  • Highland Park, IL
  • NPI 1639275506
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1770611386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 SHERIDAN RD STE 317",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352546",
            "telephone_number": "847-266-0960",
            "fax_number": "847-266-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 SHERIDAN RD STE 317",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352546",
            "telephone_number": "847-266-0960",
            "fax_number": "847-266-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT & SPINE REHABILITATION OF NORTHERN ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "BOILEVE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-266-0960",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "038-004203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04927913",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Joda, LMT
• Joel Brotman LCSW
• David Andrew Johnson, P.T.
• Marcus Wayne Johnson, D.C.
• Randee Johnson, PH.D.
• David Jolly, DC
• Cleotha Aisha Jones, APN
• Whitney Lacrystal Jones
• Brittney Joseph
• Chandrashekhar Joshi, MD

• Rehabilitation Clinic/Center in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.