Organization Active NPI

Fred W. Ruhe III DC PC

  • Internist Chiropractor
  • Frankfort, IL
National Provider Identifier
1821101726
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
038006192 Issued in IL
Legal business name
FRED W. RUHE III DC PC
Practice address
21104 Washington Pkwy
Brookside Office Court
Frankfort, IL 60423
Phone
(815) 277-2442
Fax
(815) 277-2448
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. Fred W. Ruhe III, DCNPI 1194718932
Title
President/Owner
Phone
(815) 277-2442

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NI0900X 038006192 IL Primary
Orthopedic ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NX0800X 038006192 IL

Addresses

Primary practice location

21104 Washington Pkwy
Brookside Office Court
Frankfort, IL 60423

Mailing address

21104 Washington Pkwy
Brookside Office Court
Frankfort, IL 60423
Phone (815) 277-2442

Other names 1

  • Ruhe Chiropracticc Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060926000543 IL Part B Supplier - Clinic/Group Practice 6406851435 Receives reassigned benefits from 1 practitioner
Practice locations: Frankfort, IL

National Provider Directory

National Provider Directory

Locations

21104 Washington Pkwy
Ofc Ct
Frankfort, IL 60423
Phone (815) 277-2442

21104 Washington Pkwy
Frankfort, IL 60423
Phone (708) 481-3435

4740 Lincoln Hwy
Matteson, IL 60443
Phone (708) 481-3435

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1821101726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21104 WASHINGTON PKWY",
            "address_2": "BROOKSIDE OFFICE COURT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "60423",
            "telephone_number": "815-277-2442",
            "fax_number": "815-277-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21104 WASHINGTON PKWY",
            "address_2": "BROOKSIDE OFFICE COURT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "60423",
            "telephone_number": "815-277-2442",
            "fax_number": "815-277-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED W. RUHE III DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "RUHE",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "815-277-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038006192",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038006192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruhe Chiropracticc Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.