Individual provider Active NPI

Quinn Eric Krenek, D.C.

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1053685974
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011555 Issued in IL
Practice address
3015 E New York St
Suite A11
Aurora, IL 60504-5162
Phone
(630) 820-1330
Fax
(630) 820-1554
NPI assigned
Feb 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011555 IL Primary

Addresses

Primary practice location

3015 E New York St
Suite A11
Aurora, IL 60504-5162

Mailing address

3015 E New York St
Suite A11
Aurora, IL 60504-5162
Phone (630) 820-1330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000625 IL Practitioner - Chiropractic 7810153442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3075 Book Rd
Suite 167
Naperville, IL 60564-4721
Phone (630) 857-3542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011555ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Toensing Family Chiropractic, PC Chiropractor CurrentSince May 6, 2017 Accepting new patients
Buchar Chiro Naperville, Inc Chiropractor CurrentSince May 6, 2017 Accepting new patients

Locations

3015 E New York St
Ste A12
Aurora, IL 60504
Phone (630) 820-1330

3075 Book Rd
Ste 167
Naperville, IL 60564
Phone (630) 820-1330

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": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1053685974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E NEW YORK ST",
            "address_2": "SUITE A11",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045162",
            "telephone_number": "630-820-1330",
            "fax_number": "630-820-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E NEW YORK ST",
            "address_2": "SUITE A11",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045162",
            "telephone_number": "630-820-1330",
            "fax_number": "630-820-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENEK",
        "first_name": "QUINN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.