Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primal Chiropractic and Rehabilitation PLLC

Organization Rehabilitation Chiropractor · NPI 1053071811

Primal Chiropractic and Rehabilitation PLLC provides Rehabilitation Chiropractor services in Lanark, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

411 S Broad St
Lanark, IL 61046-1209
Phone: (815) 238-1250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X

Record details

NPI number1053071811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clayton Ruter — Chiropractor · (815) 238-1250
NPI enumeratedDecember 21, 2021
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address411 S Broad St, Lanark, IL 61046-1209