Active NPI
Ultimate Chiro Care PC
- Chiropractor
- Woodridge, IL
National Provider Identifier
1093994154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038006843
- Legal business name
- ULTIMATE CHIRO CARE PC
- Practice address
- 3590 Hobson Rd Ste 301
Woodridge, IL 60517-5409 - Phone
- (630) 778-9000
- Fax
- (630) 778-9065
- NPI assigned
- Oct 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Perry Anthony Cammisa, DC
- Title
- Owner/Sole Proprietor
- Phone
- (630) 778-9000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038006843 | IL | Primary |
Addresses
Primary practice location
3590 Hobson Rd Ste 301
Woodridge, IL 60517-5409
Mailing address
3590 Hobson Rd
Woodridge, IL 60517-5409
Phone (630) 778-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00290120 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 00290120 | Other | IL | BLUECROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3590 Hobson Rd
Woodridge, IL 60517
Interoperability endpoints
- perryucc@ucp0001.direct.chirotouch.md
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Woodridge, IL
- NPI 1497853071
-
- Chiropractor
- Lockport, IL
- NPI 1205240975
-
- Physical Therapist
- Naperville, IL
- NPI 1750610895
-
- Physical Therapist
- Oak Lawn, IL
- NPI 1639194327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542758400000",
"number": "1093994154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3590 HOBSON RD",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605175409",
"telephone_number": "630-778-9000",
"fax_number": "630-778-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 HOBSON RD STE 301",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605175409",
"telephone_number": "630-778-9000",
"fax_number": "630-778-9065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTIMATE CHIRO CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-25",
"last_updated": "2018-11-21",
"status": "A",
"authorized_official_last_name": "CAMMISA",
"authorized_official_first_name": "PERRY",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
"authorized_official_telephone_number": "630-778-9000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038006843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IL",
"identifier": "00290120",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "00290120",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.