PROGRESSIVE CHIROPRACTIC WELLNESS & REHAB CENTRE P.C. NPI 1023206265

NPI Information

  • NPI: 1023206265
  • Provider Name: PROGRESSIVE CHIROPRACTIC WELLNESS & REHAB CENTRE, P.C.
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 6270 E RIVERSIDE BLVD
    LOVES PARK, IL
    ZIP 61111
  • Phone: (815) 636-2225

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NPI Details

PROGRESSIVE CHIROPRACTIC WELLNESS & REHAB CENTRE, P.C. is a point of service in Loves Park, IL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PROGRESSIVE CHIROPRACTIC WELLNESS & REHAB CENTRE, P.C. NPI is 1023206265. The provider is registered as an organization entity type.

The provider's business location address is:

6270 E RIVERSIDE BLVD
LOVES PARK, IL
ZIP 61111-418
Phone: (815) 636-2225

The provider's authorized official is Aaron Woodyatt .
The authorized official title is Owner and has the following contact phone number (815) 636-2225.

The enumeration date for this NPI number is 10/12/2007 and was last updated on 10/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service038009629ILLINOISNo
2305S00000XPoint of Service038009877ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1205345MEDICARE PINILLINOIS
2U94675MEDICARE UPINILLINOIS
3U94676MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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