Illinois Wellness Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ILLINOIS WELLNESS CENTER

Practice address

2135 City Gate LN
Suite 300
Naperville, IL 60563-3018

Phone

(630) 780-1079

NPI assigned

Feb 23, 2011

Organization subpart

No

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

Authorized official

Name

Jeff Rebarcak, D.C.

Title

President

Phone

(630) 780-1079

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1841597010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 CITY GATE LN",
            "address_2": "SUITE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 CITY GATE LN",
            "address_2": "SUITE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633018",
            "telephone_number": "630-780-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "REBARCAK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-780-1079",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illinois Luna Care Physical Therapy LLC
• Illinois Medical and Behavioral Care, LLC
• Illinois Medical Doctors of Naperville Enterprising SC
• Illinois Nursing Home& Hospital Physician Service Corporation
• Illinois Spinal & Sports Rehabilitation SC
• Illinois Wellness Group of Naperville, S.C.
• Illuminate Counseling Services, P.C.
• Illuminated Heart Counseling LTD
• Susannah Reeves Ilseman, MSOT, OTR/L
• Basel Imam, M.D.

• General Practice Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.