Omar A. Bleibel, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013454 Issued in IL

Practice address

4801 W Peterson Ave Ste 505
Chicago, IL 60646-5795

Phone

(855) 484-3349

NPI assigned

Oct 21, 2019

Last updated

Dec 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine Worx

  • Chiropractor
  • Chicago, IL
  • NPI 1043949290
  NPD Authorized official
• Brightlife Regenerative Medical Clinic SC

  • Clinic/Center
  • Libertyville, IL
  • NPI 1548736796
  NPD (past)
• Chiropractic Health Centre of Lake County

  • Chiropractor
  • Libertyville, IL
  • NPI 1427352210
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577577600000",
    "number": "1073156238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE STE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465795",
            "telephone_number": "855-484-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE STE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465795",
            "telephone_number": "855-484-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEIBEL",
        "first_name": "OMAR",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas P Bleck, MD
• Courtney Bledsoe, L.C.S.W.
• Jeanette Nadene Bledsoe
• Shelly Lynne Bledsoe, M.D.
• Kathleen S. Blehart, PSYD
• Alexander Safier Bleiberg
• Edward Bleier, MD
• Pierre Renaud Blemur Jr., M.D.
• Michael J Blend
• Mitchell Stuart Blenden, MD

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2019; 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.