Individual provider Active NPI

Scott E Schichtl, DC

  • Neurology Chiropractor
  • Lindenhurst, IL
National Provider Identifier
1053302372
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
038007445 Issued in IL
Practice address
1678 Natures Way
Lindenhurst, IL 60046-1706
Phone
(815) 978-8037
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 038007445 IL Primary
Neurology Chiropractor 111NN0400X 4861-12 WI

Addresses

Primary practice location

1678 Natures Way
Lindenhurst, IL 60046-1706

Mailing address

1678 Natures Way
Lindenhurst, IL 60046-1706
Phone (815) 978-8037

Other identifiers 2

IdentifierTypeStateIssuer
1669453056OtherILFACILITY NPI
350054547OtherILMEDICARE RAILROAD #

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

LicenseStateTypeSpecialty
038007445ILMDNeurology Chiropractor
4861-12WIMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Neuro DX, S.C. Neurology Past Accepting new patients
Andino Chiropractic Clinic PC PastSince Sep 16, 2003 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1053302372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 NATURES WAY",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600461706",
            "telephone_number": "815-978-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 NATURES WAY",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600461706",
            "telephone_number": "815-978-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICHTL",
        "first_name": "SCOTT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": "038007445",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "WI",
            "license": "4861-12",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI",
            "identifier": "1669453056",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "350054547",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.