Individual provider Active NPI

James Ryan Ludvik, D.C.

  • Chiropractor
  • Joliet, IL
National Provider Identifier
1114223641
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011892 Issued in IL
Practice address
742 Essington Rd
Joliet, IL 60435-4912
Phone
(708) 613-0020
NPI assigned
Feb 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011892 IL Primary

Addresses

Primary practice location

742 Essington Rd
Joliet, IL 60435-4912

Mailing address

18 Wyndham Dr
Montgomery, IL 60538-2002
Phone (224) 558-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903002654 IL Practitioner - Chiropractic 3779899869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011892ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Rehab and Medical Clinic PC CurrentSince Oct 18, 2023 Accepting new patients
Naperville Rehabilitation and Pain Management Center, P.C. Chiropractor CurrentSince Oct 18, 2023 Accepting new patients
Ludvik Chiropractic SC Chiropractor Past Accepting new patients

Locations

1750 N Washington St
Ste 112C
Naperville, IL 60563
Phone (630) 946-6155

25 Alexander Cir
Ste 1
Romeoville, IL 60446
Phone (815) 293-3233

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1114223641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WYNDHAM DR",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605382002",
            "telephone_number": "224-558-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604354912",
            "telephone_number": "708-613-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDVIK",
        "first_name": "JAMES",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.

Verify at the official NPI Registry.