Active NPI
Claudette Patricia Caraballo, D.C.
- Chiropractor
- Aurora, IL
National Provider Identifier
1073756300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011392
- Practice address
- 22 N Union St
Aurora, IL 60505-3514 - Phone
- (630) 820-5566
- NPI assigned
- Apr 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011392 | IL | Primary |
Addresses
Primary practice location
22 N Union St
Aurora, IL 60505-3514
Mailing address
5316 W Waveland Ave
Chicago, IL 60641-3353
Phone (773) 587-1036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038011392 | Other | IL | ILLINOIS DIV OF PROFESSIONAL REGULATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 Forest Hill Blvd
Palm Springs, FL 33406-5800
Phone (561) 967-6655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Med-Care Centers P a | Chiropractor | Past | Accepting new patients |
| Medplus, S.C. | Past | Accepting new patients | |
| Aunt Marthas Youth Service Center, Inc | Past | Accepting new patients |
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.
-
- Chiropractor
- West Palm Beach, FL
- NPI 1598984437
-
- Federally Qualified Health Center (FQHC)
- Joliet, IL
- NPI 1821346115
-
- Internal Medicine Physician
- Des Plaines, IL
- NPI 1770538753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1073756300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5316 W WAVELAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606413353",
"telephone_number": "773-587-1036",
"fax_number": "847-352-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 N UNION ST",
"city": "AURORA",
"state": "IL",
"postal_code": "605053514",
"telephone_number": "630-820-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARABALLO",
"first_name": "CLAUDETTE",
"middle_name": "PATRICIA",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS DIV OF PROFESSIONAL REGULATION",
"identifier": "038011392",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.