Domenic Anthony Cusano Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-05961 Issued in IL

Practice address

6580 N Northwest Hwy
Chicago, IL 60631-1415

Phone

(773) 631-0660

Fax

(773) 631-1869

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1986

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Cusano Chiropractic SC

  • Chiropractor
  • Chicago, IL
  • NPI 1528425345
  Medicare reassignment NPD Authorized official
• Cusano Chiropractic

  • Chiropractor
  • Chicago, IL
  • NPI 1851593271
  NPD (past) Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083625545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MORGAN LANE",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "60021",
            "telephone_number": "773-631-0660",
            "fax_number": "773-631-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 N NORTHWEST HWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311415",
            "telephone_number": "773-631-0660",
            "fax_number": "773-631-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSANO",
        "first_name": "DOMENIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-05961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1682289",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Cusack, PSY.D.
• Rory Caitlin Cusack
• Shelby Grace Cusack
• Cusano Chiropractic
• Cusano Chiropractic SC
• Sydney Love Cush
• Cushing Dental, P.C.
• Casey Cushing, OTR/L
• Jaime B. Cushing, D.D.S.
• Margaret Cushing, NP

• 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 Jul 8, 2007; 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.