Provider Demographics
NPI:1235358748
Name:RHODES TO HEALTH, LLC
Entity Type:Organization
Organization Name:RHODES TO HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:217-821-0000
Mailing Address - Street 1:PO BOX 22
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-0022
Mailing Address - Country:US
Mailing Address - Phone:217-821-0000
Mailing Address - Fax:
Practice Address - Street 1:200 E FAYETTE AVE
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-3613
Practice Address - Country:US
Practice Address - Phone:217-821-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-009245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02527033OtherBLUE CROSS BLUE SHIELD
IL446078OtherHEALTHLINK
IL446078OtherHEALTHLINK
IL02527033OtherBLUE CROSS BLUE SHIELD
IL350056068Medicare ID - Type UnspecifiedRAILROAD MEDICARE