REVIVE FAMILY CHIROPRACTIC LLC
NPI 1467230722
Chiropractor in Mundelein, IL

Active since September 18, 2023
343 E MAPLE AVE, MUNDELEIN, IL 60060(847) 780-9005 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Revive Family Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE FAMILY CHIROPRACTIC LLC (NPI 1467230722) is a healthcare organization registered as a chiropractor in Mundelein, Illinois and active in the NPI registry since September 2023. The organization lists Hyunjung Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1467230722
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVIVE FAMILY CHIROPRACTIC LLC
Location Address343 E MAPLE AVEMundelein, IL 60060-1970
Mailing Address343 E Maple AveMundelein, IL 60060-1970
Organization SubpartNo
Authorized OfficialHyunjung LeeOwner · (309) 252-0859
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1467230722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
343 E MAPLE AVE, Mundelein, IL 60060

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revive Family Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revive Family Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1912680265
343 E MAPLE AVE
Mundelein, IL 60060
(309) 252-0859
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Family Chiropractic LLC's NPI number?

The NPI number for Revive Family Chiropractic LLC is 1467230722. It was assigned to this organization in the NPPES registry on September 18, 2023.

Where is Revive Family Chiropractic LLC located?

Revive Family Chiropractic LLC is located at 343 E Maple Ave, Mundelein, IL 60060. The listed phone number is (847) 780-9005.

What is Revive Family Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Revive Family Chiropractic LLC enrolled in Medicare?

Yes. Revive Family Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Family Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Revive Family Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revive Family Chiropractic LLC was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.