Steven Robert Bourdage, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010680 Issued in IL

Practice address

6443 N Cicero Ave
Lincolnwood, IL 60712-3407

Phone

(773) 545-9379

Fax

(773) 545-9372

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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 University of Arts and Sciences, Medical Department, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Bourdage Chiropractic, SC

  • Chiropractor
  • Lincolnwood, IL
  • NPI 1689728701
  Medicare reassignment NPD Authorized official
• Ellee Carlson L.Ac. LLC

  • Acupuncturist
  • Chicago, IL
  • NPI 1912203811
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1144254889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 N CICERO AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123407",
            "telephone_number": "773-545-9379",
            "fax_number": "773-545-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 N CICERO AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123407",
            "telephone_number": "773-545-9379",
            "fax_number": "773-545-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDAGE",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amila Bijedic
• Asma Biradar, PTA
• Emily Blim
• Kathryn E. Bole, OTR/L
• Bourdage Chiropractic, SC
• Bradely S Ross, DPM PC
• Braden Partners LP
• Bradley S. Ross, D.P.M., P.C.
• Dhara Brahmbhatt
• Eliezer David Brand, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.