Active NPI
Nathan Conroy, D.C.
- Chiropractor
- Geneva, IL
National Provider Identifier
1023116456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 1881 S Randall Rd
Ste. C
Geneva, IL 60134-2532 - Phone
- (630) 845-8925
- Fax
- (630) 845-8965
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
1881 S Randall Rd
Ste. C
Geneva, IL 60134-2532
Mailing address
1881 S Randall Rd
Ste. C
Geneva, IL 60134-2532
Phone (630) 845-8925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1881 S Randall Rd
Suite C
Geneva, IL 60134-2532
Phone (630) 845-8925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038009487 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Integrative Medicine LLC | Chiropractor | Current | Accepting new patients |
Locations
1881 S Randall Rd
Ste C
Geneva, IL 60134
Phone (630) 243-5527
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": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1023116456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 S RANDALL RD",
"address_2": "STE. C",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342532",
"telephone_number": "630-845-8925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 S RANDALL RD",
"address_2": "STE. C",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342532",
"telephone_number": "630-845-8925",
"fax_number": "630-845-8965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.