Individual provider Active NPI

Cathy Lynn Subber, DC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1063421394
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008574 Issued in IL
Practice address
1767 W. Ogden Avenue
Suite 143
Naperville, IL 60540-5008
Phone
(630) 355-8988
Fax
(630) 355-8953
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008574 IL Primary

Addresses

Primary practice location

1767 W. Ogden Avenue
Suite 143
Naperville, IL 60540-5008

Mailing address

1767 W. Ogden Avenue
Suite 143
Naperville, IL 60540-5008
Phone (630) 355-8988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000592 IL Practitioner - Chiropractic 2365432325 Reassigns benefits to 1 organization
Practice locations: Naperville, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Health of Naperville PLLCGroup PAC ID 7618366105, 3 clinicians

Practice addresses (Care Compare)

1767 W Ogden Ave
Suite 143
Naperville, IL 60540-5008
Phone (630) 355-8988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038008574ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health of Naperville PLLC Chiropractor CurrentSince Sep 23, 2021 Accepting new patients
Advanced Health & Physicians Chiropractor Past Accepting new patients

Locations

1767 W Ogden Ave
Ste 143
Naperville, IL 60540
Phone (630) 355-8988

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1063421394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 W. OGDEN AVENUE",
            "address_2": "SUITE 143",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405008",
            "telephone_number": "630-355-8988",
            "fax_number": "630-355-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 W. OGDEN AVENUE",
            "address_2": "SUITE 143",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405008",
            "telephone_number": "630-355-8988",
            "fax_number": "630-355-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBER",
        "first_name": "CATHY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.