Active NPI
Tamara St. John, D.C.
- Chiropractor
- Carpentersville, IL
National Provider Identifier
1114030228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038007451
- Practice address
- 160 N Western Ave
Carpentersville, IL 60110-1732 - Phone
- (630) 935-2791
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038007451 | IL | Primary |
Addresses
Primary practice location
160 N Western Ave
Carpentersville, IL 60110-1732
Mailing address
160 N Western Ave
Carpentersville, IL 60110-1732
Phone (630) 935-2791
Other practice location 1
202 S Marion St
Oak Park, IL 60302-3104
Phone (630) 935-2791
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2207639 | Other | IL | BCBSI |
| P149948 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
160 N Western Ave
Carpentersville, IL 60110-1732
Phone (847) 426-2420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038007451 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nikanth Inc | Chiropractor | Current | Accepting new patients |
| DM Cameron DC PC | Chiropractor | Past | Accepting new patients |
| Davis Chiropractic, LTD | Chiropractor | Past | Accepting new patients |
| Freeberg Chiropractic Center S.C. | Chiropractor | Past | Accepting new patients |
Locations
212 Lincoln Ave
West Dundee, IL 60118
Phone (847) 426-2420
Organizations & group practices 4
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.
-
- Chiropractor
- Carpentersville, IL
- NPI 1497156269
-
- Chiropractor
- Oak Park, IL
- NPI 1104960368
-
- Chiropractor
- West Dundee, IL
- NPI 1457570228
-
- Chiropractor
- Oak Park, IL
- NPI 1457470924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1114030228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 N WESTERN AVE",
"city": "CARPENTERSVILLE",
"state": "IL",
"postal_code": "601101732",
"telephone_number": "630-935-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N WESTERN AVE",
"city": "CARPENTERSVILLE",
"state": "IL",
"postal_code": "601101732",
"telephone_number": "630-935-2791"
}
],
"practiceLocations": [
{
"address_1": "202 S Marion St",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603023104",
"country_code": "US",
"telephone_number": "630-935-2791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ST. JOHN",
"first_name": "TAMARA",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038007451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSI",
"identifier": "2207639",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P149948",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carpentersville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.