Emma Forlow, DC, ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013495 Issued in IL

Practice address

102 Maple Ave
Rochelle, IL 61068-8926

Phone

(815) 562-5333

Fax

(815) 562-5833

NPI assigned

Nov 9, 2017

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmer College FoundationGroup PAC ID 1557266863, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Palmer College Foundation

  dba Palmer Chiropractic Clinic

  • Chiropractor
  • Davenport, IA
  • NPI 1174535181
  Medicare reassignment Care Compare group NPD
• Hulsebus Machesney Park Chiropractic LLC

  • Chiropractor
  • Machesney Park, IL
  • NPI 1588926414
  NPD (past)
• James P. Hulsebus

  dba Hulsebus Chiropractic Clinic

  • Chiropractor
  • Machesney Park, IL
  • NPI 1972785418
  NPD (past)

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1083127229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 OXFORD RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153323",
            "telephone_number": "847-845-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAPLE AVE",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610688926",
            "telephone_number": "815-562-5333",
            "fax_number": "815-562-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORLOW",
        "first_name": "EMMA",
        "name_prefix": "Dr.",
        "credential": "DC, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "098355",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013495",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "098462",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096005099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Escatel, CCC-SLP
• Judith Faaborg, RPH
• Family Medical & Surgical Practice, LLC
• Chester Abraham Feather, M.S.
• First Convenient Care LTD
• Carter Andrew Gallick
• Genesis M Garcia, LSW
• Megan Gardner
• Amy Gilroy, LCSW, QMHP
• Jocelyn Go, APN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.