Active NPI
Robert Leonard Andino, DC
- Chiropractor
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009900
- Practice address
- 1007 W Riverside Blvd
Rockford, IL 61103-2158 - Phone
- (815) 877-5575
- Fax
- (815) 877-5550
- NPI assigned
- Sep 12, 2005
- Last updated
- Jul 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009900 | IL | Primary |
Addresses
Primary practice location
1007 W Riverside Blvd
Rockford, IL 61103-2158
Mailing address
1007 W Riverside Blvd
Rockford, IL 61103-2158
Phone (815) 877-5575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669453056 | Other | IL | FACILITY NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
7264 Argus Dr
Rockford, IL 61107-5837
Phone (815) 877-5575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038009900 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andino Chiropractic Clinic PC | Chiropractor | Current | Accepting new patients |
| Spinal Rehabilitation and Wellness Clinic, LLC | Chiropractor | Past | Accepting new patients |
| Neck to Back Rockford LLC | Past | Accepting new patients | |
| Neck to Back Lake County LLC | Chiropractor | Past | Accepting new patients |
Locations
1007 W Riverside Blvd
Rockford, IL 61103
Phone (815) 877-5575
7264 Argus Dr
Rockford, IL 61107
Phone (815) 229-8690
Organizations & group practices 4
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.
-
dba Health First Wellness Center
- Chiropractor
- Rockford, IL
- NPI 1669453056
-
- Emergency Care Clinic/Center
- Lake Bluff, IL
- NPI 1750506077
Chiropractor
-
- Family Medicine Physician
- Rockford, IL
- NPI 1427004084
-
dba Neck to Back Medical Clinic
- Family Medicine Physician
- Rockford, IL
- NPI 1376789545
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1871588301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 W RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611032158",
"telephone_number": "815-877-5575",
"fax_number": "815-877-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 W RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611032158",
"telephone_number": "815-877-5575",
"fax_number": "815-877-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDINO",
"first_name": "ROBERT",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038009900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY NPI",
"identifier": "1669453056",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.