Active NPI
Alexander E Earl, DC
- Rehabilitation Chiropractor
- Carol Stream, IL
National Provider Identifier
1043693575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 038.012819
- Practice address
- 640 E Saint Charles Rd Ste 17
Carol Stream, IL 60188-3083 - Phone
- (630) 765-0575
- NPI assigned
- Jul 1, 2015
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 038.012819 | IL | Primary |
Addresses
Primary practice location
640 E Saint Charles Rd Ste 17
Carol Stream, IL 60188-3083
Mailing address
640 E Saint Charles Rd Ste 107
Carol Stream, IL 60188-2614
Phone (630) 765-0575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012819 | IL | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Clinic of Chiropractic P.C. | Current | Accepting new patients | |
| Active Health & Restoration, LLC | Rehabilitation | Past | Accepting new patients |
Locations
955 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 866-7575
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.
-
- Rehabilitation Chiropractor
- Carol Stream, IL
- NPI 1154792802
-
- Orthopedic Chiropractor
- Ft. Oglethorpe, GA
- NPI 1598934309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1043693575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 E SAINT CHARLES RD STE 107",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882614",
"telephone_number": "630-765-0575",
"fax_number": "630-344-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 E SAINT CHARLES RD STE 17",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601883083",
"telephone_number": "630-765-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARL",
"first_name": "ALEXANDER",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-01",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": "038.012819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.