Organization Active NPI

NJL Chiropractic

Doing business as Bobb Chiropractic Center

  • Chiropractor
  • Silvis, IL
National Provider Identifier
1982185153
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012727 Issued in IL
Legal business name
NJL CHIROPRACTIC
Doing business as
Bobb Chiropractic Center
Practice address
813 1St Ave
Silvis, IL 61282-1079
Phone
(309) 755-5203
Fax
(309) 755-5285
NPI assigned
Aug 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Dr. John Christopher Lemke, DCNPI 1679971774
Title
Owner/President
Phone
(309) 755-5203

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.012727 IL Primary

Addresses

Primary practice location

813 1St Ave
Silvis, IL 61282-1079

Mailing address

813 1St Ave
Silvis, IL 61282-1079
Phone (309) 755-5203

Other identifiers 1

IdentifierTypeStateIssuer
F400183894MedicaidIL

Other names 1

  • Bobb Chiropractic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180928001122 IL Part B Supplier - Clinic/Group Practice 6901157056 Receives reassigned benefits from 1 practitioner
Practice locations: Silvis, IL

National Provider Directory

National Provider Directory
Tax ID family
Bobb Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1982185153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 1ST AVE",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821079",
            "telephone_number": "309-755-5203",
            "fax_number": "309-755-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 1ST AVE",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821079",
            "telephone_number": "309-755-5203",
            "fax_number": "309-755-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "309-755-5203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F400183894",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bobb Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bobb Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silvis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.