Brian Patrick Boyd, D.C.
Individual provider Active NPI Chiropractor · Willowbrook, IL
NPI 1013069459 · NPPES record last updated Aug 26, 2015
Key facts
- NPI
- 1013069459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038009578 (IL)
- Practice address
- 16W501 Nielson LN
Willowbrook, IL 60527-6826 - Phone
- (630) 455-5885
- Fax
- (630) 455-5929
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Back in Balance Chiropractic and Acupuncture Center LTD
Practice addresses (Care Compare)
518 Hillgrove Ave
Suite 275
Western Springs, IL 60558-1460
Phone (708) 588-8270
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060320000751 | IL | Practitioner - Chiropractic | 9234146036 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollies Essential Wellness LLC | Current |
Accepting new patients | |
| Margaret E Brownlie DC PC | Chiropractor | Past | Accepting new patients |
Locations
16W501 Nielson Ln
Willowbrook, IL 60527
Phone (630) 455-5885
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009578 | IL | Yes |
Addresses
Primary practice location
16W501 Nielson LN
Willowbrook, IL 60527-6826
Mailing address
518 Hillgrove Ave Ste 275
Western Springs, IL 60558-1460
Phone (708) 588-8270
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1632424 | Other | IL | BLUE CROSS BLUE SHIELD IL |
Other providers in Willowbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.