Kyle Hulsebus, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012120 Issued in IL

Practice address

1010 Harlem Rd
Machesney Park, IL 61115-2518

Phone

(815) 654-1044

NPI assigned

Jan 13, 2012

Last updated

Sep 16, 2013By 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

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Hulsebus Machesney Park Chiropractic LLCGroup PAC ID 7517114895, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Hulsebus Machesney Park Chiropractic LLC

  • Chiropractor
  • Machesney Park, IL
  • NPI 1588926414
  Medicare reassignment Care Compare group NPD
• 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": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1093086514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HARLEM RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152518",
            "telephone_number": "815-654-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HARLEM RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152518",
            "telephone_number": "815-654-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSEBUS",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Highland Park CVS LLC (CVS Pharmacy #16922)
• Bailey Marie Hinrichs, DPT
• Carol Buckley Huffman, PT
• Hulsebus Machesney Park Chiropractic LLC
• James Patrick Hulsebus, D.C.
• Ryan James Hulsebus, D.C.
• HW Holdings (All About Eyes)
• James P. Hulsebus (Hulsebus Chiropractic Clinic)
• Mary Kathleen Javurek Lee, DT/DTH
• Jandi Jo Jenkins, LPN

• Chiropractor in Machesney Park, IL
• Providers in Machesney Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.