Individual provider Active NPI

Kailee Pasbrig, DC

  • Chiropractor
  • Bolingbrook, IL
National Provider Identifier
1801506050
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013937 Issued in IL
Practice address
550 E Boughton Rd Ste 230
Bolingbrook, IL 60440-2402
Phone
(630) 739-1791
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013937 IL Primary

Addresses

Primary practice location

550 E Boughton Rd Ste 230
Bolingbrook, IL 60440-2402

Mailing address

550 E Boughton Rd Ste 230
Bolingbrook, IL 60440-2402
Phone (630) 739-1791

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230323002256 IL Practitioner - Chiropractic 3072987544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Wellness Revolution Chiropractic and Acupuncture CenterGroup PAC ID 4981669678, 8 clinicians

Practice addresses (Care Compare)

1117 Emerson St
Evanston, IL 60201-3131
Phone (847) 869-1773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Revolution Chiropractic & Acupuncture Center Chiropractor CurrentSince Mar 10, 2023 Accepting new patients
Quill Family Chiropractic Chiropractor CurrentSince Dec 6, 2022 Accepting new patients
Wellness Revolution Lakeview LLC Chiropractor Past Accepting new patients

Locations

550 E Boughton Rd
Ste 230
Bolingbrook, IL 60440
Phone (630) 739-1791

1117 Emerson St
Evanston, IL 60201
Phone (847) 869-1773

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1801506050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD STE 230",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402402",
            "telephone_number": "630-739-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD STE 230",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402402",
            "telephone_number": "630-739-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASBRIG",
        "first_name": "KAILEE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.