Organization Active NPI

KWR Management LLC

Doing business as Revive Integrative Health

  • Nutrition Chiropractor
  • Glenview, IL
National Provider Identifier
1952172546
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
KWR MANAGEMENT LLC
Doing business as
Revive Integrative Health
Practice address
2640 Patriot Blvd Ste 220
Glenview, IL 60026-8075
Phone
(224) 616-3002
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Dr. Kaylee Confer, DC, NDNPI 1003685132
Title
Doctor
Phone
(586) 531-6335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Nutrition Chiropractor 111NN1001X Primary

Addresses

Primary practice location

2640 Patriot Blvd Ste 220
Glenview, IL 60026-8075

Mailing address

2640 Patriot Blvd Ste 220
Glenview, IL 60026-8075
Phone (224) 616-3002

Other names 1

  • Revive Integrative Health Doing business as

National Provider Directory

National Provider Directory

Locations

2640 Patriot Blvd
Ste 220
Glenview, IL 60026
Phone (224) 616-3002

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1952172546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD STE 220",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268075",
            "telephone_number": "224-616-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD STE 220",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268075",
            "telephone_number": "224-616-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWR MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "CONFER",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "586-531-6335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, ND"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.