Taylor Rafool, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012825 Issued in IL

Practice address

351 Rusche St
Creve Coeur, IL 61610-3185

Phone

(309) 694-3565

Fax

(309) 694-3652

NPI assigned

Jun 22, 2015

Last updated

Jun 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rafool PCGroup PAC ID 7012914955, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Rafool PC

  dba Eastside Wellness Chiropractic

  • Chiropractor
  • Creve Coeur, IL
  • NPI 1215940119
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1902288491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 RUSCHE ST",
            "city": "CREVE COEUR",
            "state": "IL",
            "postal_code": "616103185",
            "telephone_number": "309-694-3565",
            "fax_number": "309-694-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 RUSCHE ST",
            "city": "CREVE COEUR",
            "state": "IL",
            "postal_code": "616103185",
            "telephone_number": "309-694-3565",
            "fax_number": "309-694-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFOOL",
        "first_name": "TAYLOR",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mushinsky
• Michael Darin O'Shaughnessy, R.PH.
• Powerchairs USA Inc.
• Rafool PC (Eastside Wellness Chiropractic)
• Brian E Rafool, DC
• Stephanie Schreiber, DMD
• Village of Creve Coeur

• Chiropractor in Creve Coeur, IL
• Providers in Creve Coeur, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.

Verify at the official NPI Registry.