Active NPI
Evolve Chiropractic PLLC
- Chiropractor
- St Charles, IL
National Provider Identifier
1013389014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011574
- Legal business name
- EVOLVE CHIROPRACTIC PLLC
- Practice address
- 451 Dunham Rd
Suite G
St Charles, IL 60174-1431 - Phone
- (224) 250-3526
- NPI assigned
- Oct 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Cruse, DC
- Title
- Owner
- Phone
- (224) 250-3526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011574 | IL | Primary |
Addresses
Primary practice location
451 Dunham Rd
Suite G
St Charles, IL 60174-1431
Mailing address
451 Dunham Rd
Suite G
St Charles, IL 60174-1431
Phone (224) 250-3526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151202002703 | IL | Part B Supplier - Clinic/Group Practice | 0941500664 |
Receives reassigned benefits from 4 practitioners Practice locations: St Charles, IL |
National Provider Directory
National Provider DirectoryLocations
451 Dunham Rd
Ste 700
St Charles, IL 60174
Phone (630) 549-6474
451 Dunham Rd
Ste G
St Charles, IL 60174
Phone (224) 250-3526
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- St Charles, IL
- NPI 1588505333
-
- Chiropractor
- Schaumburg, IL
- NPI 1043559255
-
- Physical Therapist
- Lyons, IL
- NPI 1215552294
-
- Chiropractor
- Red Oak, TX
- NPI 1659901296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1013389014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 DUNHAM RD",
"address_2": "SUITE G",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741431",
"telephone_number": "224-250-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 DUNHAM RD",
"address_2": "SUITE G",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741431",
"telephone_number": "224-250-3526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-29",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "CRUSE",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "224-250-3526",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038011574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.