Individual provider Active NPI

Joshua D Eldrenkamp, DC

  • Chiropractor
  • Westmont, IL
National Provider Identifier
1073861688
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012229 Issued in IL
Practice address
777 Oakmont LN
Suite 1000
Westmont, IL 60559-5511
Phone
(630) 323-2225
Fax
(630) 323-5230
NPI assigned
Aug 29, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012229 IL Primary

Addresses

Primary practice location

777 Oakmont LN
Suite 1000
Westmont, IL 60559-5511

Mailing address

777 Oakmont LN
Suite 1000
Westmont, IL 60559-5511
Phone (630) 323-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121109000493 IL Practitioner - Chiropractic 4688825102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Chiropractic Schaumburg PLLCGroup PAC ID 3274948757, 3 clinicians

Practice addresses (Care Compare)

1501 E Woodfield Rd
Suite 117E
Schaumburg, IL 60173-5416
Phone (847) 648-4931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Chiropractic Schaumburg PLLC Chiropractor CurrentSince Apr 1, 2023 Accepting new patients
Evolve Chiropractic Palatine PLLC Chiropractor CurrentSince Jun 10, 2023 Accepting new patients
Roselle Service Company LLC Chiropractor CurrentSince Jan 1, 2022 Accepting new patients

Locations

10705 Ruth Rd
Huntley, IL 60142
Phone (847) 277-2990

17 W Wilson St
Palatine, IL 60067
Phone (847) 496-4438

211 E Irving Park Rd
Roselle, IL 60172
Phone (224) 655-6555

1501 E Woodfield Rd
Ste 117E
Schaumburg, IL 60173
Phone (847) 648-4931

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1073861688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1000",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-323-2225",
            "fax_number": "630-323-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1000",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-323-2225",
            "fax_number": "630-323-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRENKAMP",
        "first_name": "JOSHUA",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.