Individual provider Active NPI

G. Charles Schram, D.C.

  • Chiropractor
  • Dekalb, IL
National Provider Identifier
1144564261
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-012406 Issued in IL
Practice address
229 East Hillcrest Drive
Dekalb, IL 60115-2403
Phone
(815) 756-8691
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-012406 IL Primary

Addresses

Primary practice location

229 East Hillcrest Drive
Dekalb, IL 60115-2403

Mailing address

1009 Loras Dr
Freeport, IL 61032-6923
Phone (815) 756-8691

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130627000360 IL Practitioner - Chiropractic 4981843760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schram Chiropractic LTDGroup PAC ID 1850782210, 2 clinicians

Practice addresses (Care Compare)

1009 Loras Dr
Freeport, IL 61032-6923
Phone (815) 233-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-012406ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schram Chiropractic LTD Chiropractor CurrentSince Jan 1, 2022 Accepting new patients

Locations

303 E Hillcrest Dr
Ste 1
DeKalb, IL 60115
Phone (815) 756-8691

1009 Loras Dr
Freeport, IL 61032
Phone (815) 233-1800

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1144564261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 LORAS DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326923",
            "telephone_number": "815-756-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 EAST HILLCREST DRIVE",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152403",
            "telephone_number": "815-756-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAM",
        "first_name": "G. CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-012406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.