NPIMap

Organization Active NPI

JC Rejuvenation and Wellness LTD

  • Chiropractor
  • Bartlett, IL
National Provider Identifier
1871915769
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012557 Issued in IL
Legal business name
JC REJUVENATION AND WELLNESS LTD
Practice address
825 S Illinois Route 59
Bartlett, IL 60103-1629
Phone
(630) 289-1181
Fax
(630) 289-1186
NPI assigned
Jan 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Jeffrey Witek, D.C.NPI 1760804710
Title
Owner/Provider
Phone
(773) 615-4334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.012557 IL Primary

Addresses

Primary practice location

825 S Illinois Route 59
Bartlett, IL 60103-1629

Mailing address

825 S Illinois Route 59
Bartlett, IL 60103-1629
Phone (630) 289-1811

National Provider Directory

National Provider Directory

Locations

825 S Il Route 59
Bartlett, IL 60103
Phone (630) 289-1181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1871915769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S ILLINOIS ROUTE 59",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031629",
            "telephone_number": "630-289-1811",
            "fax_number": "630-289-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S ILLINOIS ROUTE 59",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031629",
            "telephone_number": "630-289-1181",
            "fax_number": "630-289-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC REJUVENATION AND WELLNESS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "WITEK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "773-615-4334",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.