Kevin Paul Shimer

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013239 Issued in IL

Practice address

701 E North St Ste B
Elburn, IL 60119-9052

Phone

(630) 365-5820

Fax

(630) 365-5815

NPI assigned

Jul 10, 2018

Last updated

Jul 10, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trillium Health & Wellness, SC

  • Chiropractor
  • Elburn, IL
  • NPI 1588615264
  NPD (past)

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1154817328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E NORTH ST STE B",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199052",
            "telephone_number": "630-365-5820",
            "fax_number": "630-365-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E NORTH ST STE B",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199052",
            "telephone_number": "630-365-5820",
            "fax_number": "630-365-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMER",
        "first_name": "KEVIN",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Ryan-Meyers, LCSW
• Kristy Saar, M.A.
• Michael James Schuiling, DDS
• Self Made Art Therapy LLC
• Shamrock RX, Inc. (Shamrock Specialty Rx)
• Tracie Loriece Sipple, PT
• Gregory Sperry, DPT
• Lauren Renee Steers
• Richard William Stewart, DMD
• Kinga Stolarczyk, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.