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 is a Rehabilitation Chiropractor 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