Roselle Service Company LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ROSELLE SERVICE COMPANY LLC

Practice address

211 E Irving Park Rd
Roselle, IL 60172-2004

Phone

(224) 655-6555

Fax

(224) 653-9395

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Scott Joseph Kenny, DCNPI 1679578348

Title

Owner

Phone

(815) 717-8355

Specialties & licenses 3

Addresses

Other names 1

• Integrated Physical Medicine of Roselle Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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

• Joshua D Eldrenkamp, DC

  • Chiropractor
  • Westmont, IL
  • NPI 1073861688
  Medicare reassignment NPD
• Jonathan Mark Polcyn, D.C.

  • Chiropractor
  • Naperville, IL
  • NPI 1982817813
  Medicare reassignment NPD
• Scott Joseph Kenny, DC

  • Chiropractor
  • New Lenox, IL
  • NPI 1679578348
  NPD (past) Authorized official
• Dale Anthony Mraz, DC

  • Chiropractor
  • Joliet, IL
  • NPI 1619536927
  NPD

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1871963256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722004",
            "telephone_number": "224-655-6555",
            "fax_number": "224-653-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722004",
            "telephone_number": "224-655-6555",
            "fax_number": "224-653-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELLE SERVICE COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-717-8355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Physical Medicine of Roselle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roselle Chiropractic Inc
• Roselle Dental Center PC
• Roselle Physical Medicine Group
• Roselle Physical Medicine Group
• Roselle School Dist 12
• Royal Marketing and Lead Generation
• Patricia Deselm Rummelhart
• S & J Scooter Supply
• Janine Lynn Sabal, MA, CCC
• Saint Joseph Hospice, LLC

• Chiropractor in Roselle, IL
• Providers in Roselle, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.