Active NPI
Robert David Pyne, D.C.
- Internist Chiropractor
- Palos Hills, IL
National Provider Identifier
1003816067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 038-005416
- Practice address
- 10413 S Roberts Rd
Palos Hills, IL 60465-1931 - Phone
- (708) 599-9585
- Fax
- (708) 599-9598
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 038-005416 | IL | Primary |
Addresses
Primary practice location
10413 S Roberts Rd
Palos Hills, IL 60465-1931
Mailing address
10413 S Roberts Rd
Palos Hills, IL 60465-1931
Phone (708) 599-9585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001682418 | Other | IL | BLUECROSS/BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10413 S Roberts Rd
Palos Hills, IL 60465-1931
Phone (708) 599-9585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-005416 | IL | MD | Internist Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root II Wellness | Current | Accepting new patients | |
| Dr.Robert Pyne D.C.P.C. | Current | Accepting new patients |
Locations
1660 N Farnsworth Ave
Ste 1
Aurora, IL 60505
Phone (630) 898-0101
10413 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 598-9010
Networks
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- IL PPO Downstate
- IL HMO C-SNP
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Palos Hills, IL
- NPI 1558562116
-
- Chiropractor
- Palos Hills, IL
- NPI 1700671849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1003816067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10413 S ROBERTS RD",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651931",
"telephone_number": "708-599-9585",
"fax_number": "708-599-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10413 S ROBERTS RD",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651931",
"telephone_number": "708-599-9585",
"fax_number": "708-599-9598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYNE",
"first_name": "ROBERT",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "IL",
"license": "038-005416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "0001682418",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.