Active NPI
Remington Rodela, DC
- Chiropractor
- Lisle, IL
National Provider Identifier
1932782323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013707
- Practice address
- 2009 Warrenville Rd Ste C
Lisle, IL 60532-2373 - Phone
- (630) 515-0001
- NPI assigned
- May 3, 2021
- Last updated
- May 3, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 038.013707 | IL | Primary |
Addresses
Primary practice location
2009 Warrenville Rd Ste C
Lisle, IL 60532-2373
Mailing address
522 Charlestown Dr
Bolingbrook, IL 60440-1249
Phone (630) 740-3079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013707 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Wellness, LLC | Chiropractor | Current | Accepting new patients |
| Active Wellness LLC | Chiropractor | Current | Accepting new patients |
Locations
215 W Superior St
Chicago, IL 60654
Phone (773) 906-5600
4555 N Lincoln Ave
Chicago, IL 60625
Phone (773) 328-8153
40 N Northwest Hwy
Park Ridge, IL 60068
Phone (773) 231-7081
Organizations & group practices 2
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.
-
- Chiropractor
- Chicago, IL
- NPI 1891120408
-
- Chiropractor
- Chicago, IL
- NPI 1902162662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1932782323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 CHARLESTOWN DR",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401249",
"telephone_number": "630-740-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 WARRENVILLE RD STE C",
"city": "LISLE",
"state": "IL",
"postal_code": "605322373",
"telephone_number": "630-515-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODELA",
"first_name": "REMINGTON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.