Katie Niebur, ND, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013439 Issued in IL

Practice address

115 W Maple Ave
Libertyville, IL 60048-2119

Phone

(708) 362-2337

NPI assigned

May 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

1St Choice Chiropractic LLCGroup PAC ID 6800222399, 2 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 and National Provider Directory roles.

• 1St Choice Chiropractic LLC

  • Chiropractor
  • Libertyville, IL
  • NPI 1699314468
  Medicare reassignment Care Compare group NPD
• Patie LLC

  • Clinic/Center
  • Elmhurst, IL
  • NPI 1376165712

  Chiropractor

  NPD (past) Authorized official

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1104448547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11454 193RD ST",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488423",
            "telephone_number": "708-362-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAPLE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482119",
            "telephone_number": "708-362-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEBUR",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "ND, DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038103439",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Newsom, MSW, LSW
• Frank Nguyen, PA
• Tatiana Nicholls
• Nicole Hiller Counseling PLLC
• Maddox Niebauer, M.S., BCBA
• Celestia Arendall Nielsen, FNP
• Alexa Niermeyer, PA-C
• Alissa Nixon, SLP
• James Nixon
• Emmanuel Nnanna Njoku, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.