Active NPI
Peter James Fox, D.C.
- Chiropractor
- Libertyville, IL
National Provider Identifier
1063726560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012247
- Practice address
- 316 Peterson Rd
Libertyville, IL 60048-1008 - Phone
- (847) 816-3350
- NPI assigned
- Jul 27, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007193 | IA | |
| Chiropractor | 111N00000X | DC010240 | PA | |
| Chiropractor | 111N00000X | 2301009519 | MI | |
| Chiropractor | 111N00000X | 038.012247 | IL | Primary |
Addresses
Primary practice location
316 Peterson Rd
Libertyville, IL 60048-1008
Mailing address
316 Peterson Rd
Libertyville, IL 60048-1008
Phone (847) 816-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4101 John R Rd
Suite 300
Troy, MI 48085-3626
Phone (248) 680-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007193 | IA | MD | Chiropractor |
| 038.012247 | IL | MD | Chiropractor |
| DC010240 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jamie L. Cramer PLC | Current | Accepting new patients |
Locations
4101 John R Rd
Ste 300
Troy, MI 48085
Phone (248) 680-7200
Organizations & group practices 1
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": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1063726560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 PETERSON RD",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600481008",
"telephone_number": "847-816-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 PETERSON RD",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600481008",
"telephone_number": "847-816-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "PETER",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007193",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010240",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009519",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.