Individual provider Active NPI

Stephen A Sikorsky, DC

  • Chiropractor
  • Elgin, IL
National Provider Identifier
1023056611
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008586 Issued in IL
Practice address
104 Tyler Creek Plaza
Elgin, IL 60123
Phone
(847) 645-0464
Fax
(847) 695-0461
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008586 IL Primary

Addresses

Primary practice location

104 Tyler Creek Plaza
Elgin, IL 60123

Mailing address

104 Tyler Creek Plaza
Elgin, IL 60123
Phone (847) 645-0464

Other identifiers 1

IdentifierTypeStateIssuer
0453210OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000264 IL Practitioner - Chiropractic 2466432653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1425 N McLean Blvd
Suite 700
Elgin, IL 60123-5724
Phone (847) 695-0464

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038008586ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sikorsky Chiropractic Clinic SC Chiropractor CurrentSince Feb 25, 2003 Accepting new patients
Lifetime Health & Wellness Center SC Chiropractor PastSince Feb 25, 2003 Accepting new patients

Locations

1425 N McLean Blvd
Ste 700
Elgin, IL 60123
Phone (847) 695-0464

104 Tyler Creek Plz
Elgin, IL 60123
Phone (847) 695-0464

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1023056611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TYLER CREEK PLAZA",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-645-0464",
            "fax_number": "847-695-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TYLER CREEK PLAZA",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-645-0464",
            "fax_number": "847-695-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORSKY",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0453210",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.