Individual provider Active NPI

Susanne Kowalski, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1023411287
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012671 Issued in IL
Practice address
5500 N Paris Ave
Chicago, IL 60656-1550
Phone
(773) 636-6951
NPI assigned
Oct 2, 2014
Last updated
Oct 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012671 IL Primary

Addresses

Primary practice location

5500 N Paris Ave
Chicago, IL 60656-1550

Mailing address

5500 N Paris Ave
Chicago, IL 60656-1550
Phone (773) 636-6951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907001293 IL Practitioner - Chiropractic 3375927510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Health and Physical Therapy Center SCGroup PAC ID 6800999798, 2 clinicians

Practice addresses (Care Compare)

1795 S Washington St
Suite 109
Naperville, IL 60565-2058
Phone (331) 401-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012671ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Health and Physical Therapy Center SC CurrentSince Oct 30, 2025 Accepting new patients

Locations

1795 S Washington St
Ste 109
Naperville, IL 60565
Phone (331) 401-5900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1023411287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 N PARIS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561550",
            "telephone_number": "773-636-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 N PARIS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561550",
            "telephone_number": "773-636-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.