Active NPI
Andrew B Serlin, D.C.
- Chiropractor
- Northbrook, IL
National Provider Identifier
1124067442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038010489
- Practice address
- 3113 Dundee Rd
Northbrook, IL 60062-2402 - Phone
- (224) 723-5693
- Fax
- (224) 723-5073
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- 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 | 038010489 | IL | Primary |
Addresses
Primary practice location
3113 Dundee Rd
Northbrook, IL 60062-2402
Mailing address
3113 Dundee Rd
Northbrook, IL 60062-2402
Phone (224) 723-5693
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 E Roosevelt Rd
Lombard, IL 60148-4539
Phone (630) 629-9664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038010489 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National University of Health Sciences | Chiropractor | Current | Accepting new patients |
Locations
200 E Roosevelt Rd
Lombard, IL 60148
Phone (630) 629-9664
200 E Roosevelt Rd
Bldg B
Lombard, IL 60148
Phone (630) 889-6453
Interoperability endpoints
- andrew.serlin.1@11209.direct.athenahealth.com
- https://api.platform.athenahealth.com/11209/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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
- Lombard, IL
- NPI 1316079775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1124067442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 DUNDEE RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622402",
"telephone_number": "224-723-5693",
"fax_number": "224-723-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 DUNDEE RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622402",
"telephone_number": "224-723-5693",
"fax_number": "224-723-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERLIN",
"first_name": "ANDREW",
"middle_name": "B",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038010489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.