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Pure Health Physical Medicine, LLC

Family Medicine Physician in Aurora, IL · enumerated 2013 · authorized official Kenneth Olson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134466162

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Registry record

Entity type Organization (Type 2)
Legal business name Pure Health Physical Medicine, LLC
Practice address 2116 W Galena Blvd, Suite 112, Aurora, IL, 60506
Phone (630) 897-1895
Enumeration date Jan 10, 2013
Last updated in NPPES May 17, 2024

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License 038008765 (IL) Secondary
111N00000X Chiropractor Chiropractic Providers · License 038011191 (IL) Secondary
111N00000X Chiropractor Chiropractic Providers · License 038011696 (IL) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036099986 (IL) Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209010369 (IL) Secondary

Authorized official

Name Kenneth Olson
Title Owner
Phone (630) 897-1895

Other identifiers

Identifier Type State Issuer
IL8252 Other IL MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pure Health Physical Medicine, LLC?
The NPI for Pure Health Physical Medicine, LLC is 1134466162, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pure Health Physical Medicine, LLC?
NPPES lists Kenneth Olson (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-17.