Active NPI
Ronald Michael Rebmann, D.C
- Rehabilitation Chiropractor
- Libertyville, IL
National Provider Identifier
1992884498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 038-005127
- Practice address
- 736 Florsheim Dr
Suite 12
Libertyville, IL 60048-3704 - Phone
- (847) 680-3900
- Fax
- (847) 680-2026
- NPI assigned
- Nov 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 038-005127 | IL | Primary |
| Sports Physician Chiropractor | 111NS0005X | 038-005127 | IL |
Addresses
Primary practice location
736 Florsheim Dr
Suite 12
Libertyville, IL 60048-3704
Mailing address
736 Florsheim Dr
Suite 12
Libertyville, IL 60048-3704
Phone (847) 680-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4922462 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1117 S Milwaukee Ave
Suite D11
Libertyville, IL 60048-3704
Phone (847) 680-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-005127 | IL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Chiropractic Center SC | Current | Accepting new patients | |
| Affinity Physical Therapy SC Inc | Current | Accepting new patients | |
| Envision Health Clinic | Past | Accepting new patients |
Locations
1117 S Milwaukee Ave
Ste D11
Libertyville, IL 60048
Phone (847) 680-3900
736 Florsheim Dr
Ste 12
Libertyville, IL 60048
Phone (847) 680-3900
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Libertyville, IL
- NPI 1619156361
-
- Physical Therapy Clinic/Center
- Libertyville, IL
- NPI 1437993987
-
- Chiropractor
- Lake Forest, IL
- NPI 1184079782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1992884498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 FLORSHEIM DR",
"address_2": "SUITE 12",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483704",
"telephone_number": "847-680-3900",
"fax_number": "847-680-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 FLORSHEIM DR",
"address_2": "SUITE 12",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483704",
"telephone_number": "847-680-3900",
"fax_number": "847-680-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBMANN",
"first_name": "RONALD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": "038-005127",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "038-005127",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4922462",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.