Individual provider Active NPI

Sherry Massey, D.C.

  • Chiropractor
  • Willowbrook, IL
National Provider Identifier
1043266133
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009612 Issued in IL
Practice address
6300 Kingery Hwy
Suite 404
Willow Brook, IL 60527-2248
Phone
(630) 789-3338
Fax
(630) 789-3394
NPI assigned
May 26, 2006
Last updated
Feb 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 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 038009612 IL Primary

Addresses

Primary practice location

6300 Kingery Hwy
Suite 404
Willow Brook, IL 60527-2248

Mailing address

6300 Kingery Hwy
Suite 404
Willow Brook, IL 60527-2248
Phone (630) 789-3338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000956 IL Practitioner - Chiropractic 3870531254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physicians, S.C.Group PAC ID 6103879713, 11 clinicians

Practice addresses (Care Compare)

14330 S Will Cook Rd
Homer Glen, IL 60491-9211
Phone (708) 645-0288

16101 Weber Rd
Crest Hill, IL 60403-8812
Phone (815) 836-3799

3052 Weber Dr
Aurora, IL 60502-5553
Phone (630) 898-9700

3360 La Crosse LN
Suite 110
Naperville, IL 60564-8165
Phone (630) 922-1700

7632 Plaza CT
Willowbrook, IL 60527-5607
Phone (630) 789-3338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physicians, S.C. Past Accepting new patients

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1043266133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 KINGERY HWY",
            "address_2": "SUITE 404",
            "city": "WILLOW BROOK",
            "state": "IL",
            "postal_code": "605272248",
            "telephone_number": "630-789-3338",
            "fax_number": "630-789-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 KINGERY HWY",
            "address_2": "SUITE 404",
            "city": "WILLOW BROOK",
            "state": "IL",
            "postal_code": "605272248",
            "telephone_number": "630-789-3338",
            "fax_number": "630-789-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "SHERRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.