Active NPI
Darrin R Foszcz, D.C.
- Chiropractor
- Spring Grove, IL
National Provider Identifier
1013025824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-008496
- Practice address
- 2207 N US Highway 12
Suite E
Spring Grove, IL 60081-9706 - Phone
- (815) 675-9355
- Fax
- (815) 675-9323
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-008496 | IL | Primary |
Addresses
Primary practice location
2207 N US Highway 12
Suite E
Spring Grove, IL 60081-9706
Mailing address
2207 N US Highway 12
Suite E
Spring Grove, IL 60081-9706
Phone (815) 675-9355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004932017 | Other | IL | BCBS PROVIDER # |
| 364478173 | Other | IL | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080715000720 | IL | Practitioner - Chiropractic | 6901979525 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2207 N US Hwy 12
Suite E
Spring Grove, IL 60081-9706
Phone (815) 675-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-008496 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discover Integrated Medical Center, LTD. | Current | Accepting new patients |
Locations
2207 N US Highway 12
Ste E
Spring Grove, IL 60081
Phone (815) 675-9355
Organizations & group practices 1
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.
-
- General Practice Physician
- Spring Grove, IL
- NPI 1538775192
IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266192000000",
"number": "1013025824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 N US HIGHWAY 12",
"address_2": "SUITE E",
"city": "SPRING GROVE",
"state": "IL",
"postal_code": "600819706",
"telephone_number": "815-675-9355",
"fax_number": "815-675-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 N US HIGHWAY 12",
"address_2": "SUITE E",
"city": "SPRING GROVE",
"state": "IL",
"postal_code": "600819706",
"telephone_number": "815-675-9355",
"fax_number": "815-675-9323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSZCZ",
"first_name": "DARRIN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2010-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-008496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "0004932017",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "364478173",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.