Greganthony A Cleofe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

11901 S 80TH Ave
Suite 1
Palos Park, IL 60464-3102

Phone

(708) 923-9400

Fax

(708) 923-9402

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellspring Chiropractic & Rehabilitation, LTD.

  • Chiropractor
  • Palos Park, IL
  • NPI 1205986924
  Medicare reassignment NPD Authorized official
• Hofmaier Chiropractic LTD

  • Chiropractor
  • Villa Park, IL
  • NPI 1184741456
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003926379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 S 80TH AVE",
            "address_2": "SUITE 1",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643102",
            "telephone_number": "708-923-9400",
            "fax_number": "708-923-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 S 80TH AVE",
            "address_2": "SUITE 1",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643102",
            "telephone_number": "708-923-9400",
            "fax_number": "708-923-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEOFE",
        "first_name": "GREGANTHONY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bienvenido Camacho
• Noel Camba, M.D.
• V. Grace M. Carreon, M.D.
• Stacey Ann Carroll, MA CCC SLP
• Corey L Cashen, PSY.D.
• Kiann T Cleofe, DC
• Jennifer Colclasure, PHARMD
• Kristen Marie Conners, M.S., CCC-A
• Corazon R Benig MD SC
• Lisa Sharon Cushing, PHD, BCBA

• Chiropractor in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.