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INTEGRATED PHYSICAL MEDICINE OF ROSELLE
NPI 1871963256
Chiropractor in Roselle, IL

Active since September 29, 2015
211 E IRVING PARK RD, ROSELLE, IL 60172(224) 655-6555(224) 653-9395 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2022, Jan 12, 2017, Nov 4, 2016 and 1 more (4 updates tracked since 2015).

About Integrated Physical Medicine Of Roselle NPPES

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

INTEGRATED PHYSICAL MEDICINE OF ROSELLE (NPI 1871963256) is a healthcare organization registered as a chiropractor in Roselle, Illinois and active in the NPI registry since September 2015. The organization lists Scott Joseph Kenny, Owner, as its authorized official.

NPPES Registry Identity

NPI1871963256
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameROSELLE SERVICE COMPANY LLC
Location Address211 E IRVING PARK RDRoselle, IL 60172-2004
Mailing Address211 E Irving Park RdRoselle, IL 60172-2004 · (224) 655-6555 · Fax (224) 653-9395
Phone(224) 655-6555
Fax(224) 653-9395
Organization SubpartNo
Authorized OfficialScott Joseph KennyOwner · (815) 717-8355
Enumeration DateSeptember 29, 2015
Last NPPES UpdateJanuary 17, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2022
✔ NPI 1871963256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedMassage TherapistTaxonomy 225700000X
211 E IRVING PARK RD, Roselle, IL 60172
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Other Names 1

Doing Business AsIntegrated Physical Medicine Of Roselle

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Integrated Physical Medicine Of Roselle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrated Physical Medicine Of Roselle, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Joshua Eldrenkamp, DC
Chiropractic
NPI 1073861688
777 OAKMONT LN SUITE 1000
Westmont, IL 60559
(630) 323-2225
✔ Accepts Medicare13 mi
Jonathan Polcyn, D.C.
Chiropractic
NPI 1982817813
2155 CITY GATE LN STE 123
Naperville, IL 60563
(331) 249-3999
✔ PECOS14 mi

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 Roselle Service Company LLC's NPI number?

The NPI number for Roselle Service Company LLC is 1871963256. It was assigned to this organization in the NPPES registry on September 29, 2015. The provider is doing business as Integrated Physical Medicine Of Roselle.

Where is Roselle Service Company LLC located?

Roselle Service Company LLC is located at 211 E Irving Park Rd, Roselle, IL 60172. The listed phone number is (224) 655-6555.

What is Roselle Service Company LLC's specialty?

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

Is Roselle Service Company LLC enrolled in Medicare?

Yes. Roselle Service Company LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roselle Service Company LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Roselle Service Company 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 Roselle Service Company LLC was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.