Individual provider Active NPI

Pascale Nelson, D.C.

  • Chiropractor
  • Arlington Heights, IL
National Provider Identifier
1063699114
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011227 Issued in IL
Practice address
3115 N Wilke Rd Ste a
Arlington Heights, IL 60004-1451
Phone
(224) 795-5700
Fax
(224) 795-5705
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011227 IL Primary

Addresses

Primary practice location

3115 N Wilke Rd Ste a
Arlington Heights, IL 60004-1451

Mailing address

315 S Naperville Rd
Wheaton, IL 60187-5423
Phone (630) 221-0200

Other practice location 1

2964 Commerce Dr
Johnsburg, IL 60051-5409
Phone (630) 841-2110

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
038.011227ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Back and Joint PLLC Chiropractor CurrentSince Jan 19, 2023 Accepting new patients
Evolve Chiropractic Woodstock PLLC Chiropractor PastSince Jul 1, 2018 Accepting new patients
Arlington Heights Medical, SC Past Accepting new patients

Locations

640 E Saint Charles Rd
Ste 206
Carol Stream, IL 60188
Phone (630) 480-7155

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063699114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S NAPERVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875423",
            "telephone_number": "630-221-0200",
            "fax_number": "630-384-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 N WILKE RD STE A",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041451",
            "telephone_number": "224-795-5700",
            "fax_number": "224-795-5705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2964 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Johnsburg",
            "state": "IL",
            "postal_code": "600515409",
            "country_code": "US",
            "telephone_number": "630-841-2110",
            "fax_number": "630-701-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "PASCALE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.