Active NPI
Mark Allen Sloan, D.C.
- Chiropractor
- Loves Park, IL
National Provider Identifier
1033168307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038008006
- Practice address
- 1820 Windsor Rd
Loves Park, IL 61111-4271 - Phone
- (779) 423-1700
- NPI assigned
- May 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2682 | NC | |
| Chiropractor | 111N00000X | 038008006 | IL | Primary |
Addresses
Primary practice location
1820 Windsor Rd
Loves Park, IL 61111-4271
Mailing address
1820 Windsor Rd
Loves Park, IL 61111-4271
Phone (779) 423-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890838A | Medicaid | NC | |
| 890938A | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2682 | NC | MD | Clinical Psychologist |
| 038008006 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipm Service Company LLC | Chiropractor | Current | Accepting new patients |
| West 84TH Drive Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Carolina Chiropractic Consultants, Inc 8 | Chiropractor | Past | Accepting new patients |
| Wellness One of Hickory, Inc. | Chiropractor | Past | Accepting new patients |
| Atlas Chiropractic Health Center, Inc. | Past | Accepting new patients |
Locations
100 W 84th Dr
Merrillville, IN 46410
Phone (219) 736-7363
Organizations & group practices 5
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.
-
- Chiropractor
- Merrillville, IN
- NPI 1477118818
-
- Sports Physician Chiropractor
- Chicago, IL
- NPI 1538248596
-
dba Valley Corners Chiropractic
- Chiropractor
- Hickory, NC
- NPI 1922122761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1033168307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 WINDSOR RD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611114271",
"telephone_number": "779-423-1700",
"fax_number": "708-895-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 WINDSOR RD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611114271",
"telephone_number": "779-423-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "MARK",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2682",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038008006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890838A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890938A",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loves Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.