Individual provider Active NPI

Darrin R Foszcz, D.C.

  • Chiropractor
  • Spring Grove, IL
National Provider Identifier
1013025824
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008496 Issued in IL
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

Updated by the provider on Feb 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0004932017OtherILBCBS PROVIDER #
364478173OtherILTAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
038-008496ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Integrated Medical Center, LTD. CurrentSince Sep 18, 2020 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.

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.

Verify at the official NPI Registry.