Simone Joanne Joseph, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009759 Issued in IL

Practice address

1515 N Harlem Ave
Suite 111
Oak Park, IL 60302-1250

Phone

(708) 848-2730

Fax

(708) 848-2739

NPI assigned

Mar 22, 2013

Sex

Female

Sole proprietor

Yes

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

National College of Chiropractic, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/933edef4-eba4-44c0-a5ce-a34dcfcf6c06/

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.

• SJ Chiropractic LLC

  • Chiropractor
  • Oak Park, IL
  • NPI 1871361048
  Medicare reassignment NPD Authorized official
• Innovative Vascular and Therapeutics, PLLC

  • Vascular & Interventional Radiology Physician
  • Oak Park, IL
  • NPI 1386291664
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1114269644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE",
            "address_2": "SUITE 111",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021250",
            "telephone_number": "708-848-2730",
            "fax_number": "708-848-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE",
            "address_2": "SUITE 111",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021250",
            "telephone_number": "708-848-2730",
            "fax_number": "708-848-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SIMONE",
        "middle_name": "JOANNE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Huskey Jordan-Lake, MA, MT-BC
• Alison Jordan
• Kayla Jordan
• Patrick Jose
• Joseph M Burbick DDS LTD
• Journey'S Community Center Inc.
• Joy of Health LLC
• JP Associates
• Mahogany Jude
• David Robert Juel, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.