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HEALTHSOURCE OF DEER PARK
NPI 1669653770
Chiropractor in Deer Park, IL

Active since November 16, 2007
20876 N RAND RD, DEER PARK, IL 60010(847) 726-0044 Get Directions Write a Review

NPPES record last updated: November 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healthsource Of Deer Park NPPES

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

HEALTHSOURCE OF DEER PARK (NPI 1669653770) is a healthcare organization registered as a chiropractor in Deer Park, Illinois and active in the NPI registry since November 2007. The organization lists J. Grant Reffell, Owner, as its authorized official.

NPPES Registry Identity

NPI1669653770
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTHSOURCE OF DEER PARK
Location Address20876 N RAND RDDeer Park, IL 60010-3707
Mailing Address20876 N Rand RdDeer Park, IL 60010-3707 · (847) 726-0044
Phone(847) 726-0044
Organization SubpartNo
Authorized OfficialJ. Grant ReffellOwner · (847) 726-0044
Enumeration DateNovember 16, 2007
Last NPPES UpdateNovember 9, 2014
✔ NPI 1669653770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038007087
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.
20876 N RAND RD, Deer Park, IL 60010
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Other Identifiers 3

Other490-50-20IL · Bluecross Blueshield
Medicare PIN999-950IL
Medicare UPINU45709IL

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

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 Healthsource Of Deer Park's NPI number?

The NPI number for Healthsource Of Deer Park is 1669653770. It was assigned to this organization in the NPPES registry on November 16, 2007.

Where is Healthsource Of Deer Park located?

Healthsource Of Deer Park is located at 20876 N Rand Rd, Deer Park, IL 60010. The listed phone number is (847) 726-0044.

What is Healthsource Of Deer Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Healthsource Of Deer Park was last updated on November 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.