Organization Active NPI

Rein Chiropractic PC

Doing business as Back on Track Chiropractic

  • Chiropractor
  • Woodstock, IL
National Provider Identifier
1881714921
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009699 Issued in IL
Legal business name
REIN CHIROPRACTIC PC
Doing business as
Back on Track Chiropractic
Practice address
1216 N Seminary Ave Ste a
Woodstock, IL 60098-4319
Phone
(815) 337-7346
Fax
(815) 337-3740
NPI assigned
Mar 30, 2007
Last updated
Jul 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Dr. Michael R. Rein, D.C.NPI 1053374736
Title
Owner
Phone
(815) 337-7346

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
Chiropractor 111N00000X 038-009699 IL Primary

Addresses

Primary practice location

1216 N Seminary Ave Ste a
Woodstock, IL 60098-4319

Mailing address

1216 N Seminary Ave Ste a
Woodstock, IL 60098-4319

Other identifiers 5

IdentifierTypeStateIssuer
7911459OtherILAETNA
11691104OtherILCAQH
650894OtherILACN
05632055OtherILBLUE CROSS BLUE SHIELD
2018392OtherILFIRST HEALTH

Other names 1

  • Back on Track Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1216 N Seminary Ave
Ste A
Woodstock, IL 60098
Phone (815) 337-7346

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1881714921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 N SEMINARY AVE STE A",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600984319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 N SEMINARY AVE STE A",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600984319",
            "telephone_number": "815-337-7346",
            "fax_number": "815-337-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "REIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-337-7346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7911459",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11691104",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "650894",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05632055",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2018392",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back on Track Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.