Bleem Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007902 Issued in IL

Legal business name

BLEEM FAMILY CHIROPRACTIC INC

Practice address

314 W Main St
Havana, IL 62644-1140

Phone

(309) 543-4341

Fax

(309) 543-4321

NPI assigned

Jan 6, 2012

Organization subpart

No

Name

Dr. Renold B Bleem, DCNPI 1285613265

Title

Owner

Phone

(309) 543-4341

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

• Renold B Bleem, DC

  • Chiropractor
  • Havana, IL
  • NPI 1285613265
  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in IL

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2012.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1831469998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W MAIN ST",
            "city": "HAVANA",
            "state": "IL",
            "postal_code": "626441140",
            "telephone_number": "309-543-4341",
            "fax_number": "309-543-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W MAIN ST",
            "city": "HAVANA",
            "state": "IL",
            "postal_code": "626441140",
            "telephone_number": "309-543-4341",
            "fax_number": "309-543-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEEM FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "BLEEM",
        "authorized_official_first_name": "RENOLD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-543-4341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ballinger, NP
• Brittney Elizabeth Barlage, MS., CCC-SLP
• Gail Behrends
• Brandi Nicole Behymer, CNA
• Aaron James Blakely, D.M.D.
• Renold B Bleem, DC
• Karen Faye Brauer, LCPC
• Tracey Mae Canete
• Rachel Lynn Davenport, PMHNP
• Dr. Strauman

• All providers in Havana, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.