KANKAKEE VALLEY CHIROPRACTIC
NPI 1538469655
Chiropractor in Bradley, IL

NPI Status: Active since October 22, 2010

Contact Information

300 NORTH KENNEDY DRIVE
SUITE 2
BRADLEY, IL
ZIP 60915
Phone: (815) 933-6624
Fax: (815) 933-6664

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  • Organization
  • Chiropractor
  • CLIA Number: 14D2278531
  • CLIA Cert. Type: Other - PLASMA COLLECTION CENTER
  • CLIA Exp. Date: 12-15-2026

About KANKAKEE VALLEY CHIROPRACTIC

This page provides the complete NPI Profile along with additional information for Kankakee Valley Chiropractic, a provider established in Bradley, Illinois operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1538469655 assigned on October 2010. The practitioner's primary taxonomy code is 111N00000X with license number 038011709 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Blake William Randles D.c. (Ceo)

NPI
1538469655
Provider Name
KANKAKEE VALLEY CHIROPRACTIC
Entity Type
Organization
Location Address
300 NORTH KENNEDY DRIVE SUITE 2 BRADLEY, IL 60915
Location Phone
(815) 933-6624
Location Fax
(815) 933-6664
Mailing Address
300 NORTH KENNEDY DRIVE SUITE 2 BRADLEY, IL 60915
Mailing Phone
(815) 933-6624
Mailing Fax
(815) 933-6664
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2010
Last Update Date
10-22-2010
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A chiropractor like Kankakee Valley Chiropractic helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
038011709
License State
IL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BLAKE WILLIAM RANDLES D.C.

Authorized Official Title
CEO
Authorized Official Phone
(815) 933-6624

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2278531
Facility Type
Other - PLASMA COLLECTION CENTER
Certificate Effective Date
December 16, 2024
Certificate Expiration Date
December 15, 2026
Laboratory Director
BARBARA BELLAR
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Kankakee Valley Chiropractic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538469655, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 8 + 6 + 1 + 8 + 6 + 1 + 0 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1538469655.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538469655, enumerated as an "organization" on October 22, 2010.

The provider is located at 300 NORTH KENNEDY DRIVE SUITE 2 BRADLEY, IL 60915 and the phone number is (815) 933-6624.

Chiropractor with taxonomy code 111N00000X.