Full Life Rejuvenation

Full Life Rejuvenation is a healthcare organization registered as Chiropractor in Northbrook, IL, holding Type 2 (organization) NPI 1477823938 since 2011. The authorized official on file is Kim Martin, Chiropractor/Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1477823938
Entity type	Organization (Type 2)
Legal business name	Full Life Rejuvenation
Other name	<Unavail>
Practice address	1446 TECHNY RD, Northbrook, IL, 60062
Phone	8477369555
Fax	8473866270
Enumeration date	2011-12-30
Last updated in NPPES	2011-12-30

Authorized official

Name	Kim Martin
Title	Chiropractor/Owner
Phone	8477369555

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
111N00000X	Chiropractor	Primary	038.011644	IL

Copy-ready billing details

Provider: Full Life Rejuvenation
NPI: 1477823938
Taxonomy: 111N00000X (Chiropractor)
Address: 1446 TECHNY RD, Northbrook, IL, 60062

Providers at this address

NPI	Name	Type	Specialty	Location
1053454140	Kim Martin	Individual	Nutrition Chiropractor	Northbrook, IL
1578758298	North Shore Health Solutions Ltd	Organization	Chiropractor	Northbrook, IL

Verify this record

Cross-check NPI 1477823938 against the authoritative CMS record: view Full Life Rejuvenation on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Full Life Rejuvenation located?

The practice location on file with NPPES is in Northbrook, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-12-30. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-12-30.