Individual provider Active NPI

Nebojsa Nick Dimovski, D.C.

  • Chiropractor
  • Palos Hills, IL
National Provider Identifier
1063599546
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.010870 Issued in IL
Practice address
8005 W 99TH St
Palos Hills, IL 60465-1400
Phone
(708) 430-5440
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.010870 IL Primary

Addresses

Primary practice location

8005 W 99TH St
Palos Hills, IL 60465-1400

Mailing address

8005 W 99TH St
Palos Hills, IL 60465-1400
Phone (708) 430-5440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070802000719 IL Practitioner - Chiropractic 5092707463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8005 W 99TH St
Palos Hills, IL 60465-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.010870ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dimovski Chiropractic P.C. Chiropractor CurrentSince Dec 29, 2003 Accepting new patients
Physical Medicine Associates SC Chiropractor PastSince May 22, 2022 Accepting new patients
QC Family Chiropractic and Rehabilitation Chiropractor Past Accepting new patients

Locations

8005 W 99th St
Palos Hills, IL 60465
Phone (708) 430-5440

8023 Grand River Rd
Ste 600
Brighton, MI 48114
Phone (810) 229-4179

117 W Clinton St
Howell, MI 48843
Phone (517) 548-6670

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1063599546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 W 99TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651400",
            "telephone_number": "708-430-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 W 99TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651400",
            "telephone_number": "708-430-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOVSKI",
        "first_name": "NEBOJSA",
        "middle_name": "NICK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.