Individual provider Active NPI

Alfred John Petrone, DC, DABCO

  • Orthopedic Chiropractor
  • Hoffman Estates, IL
National Provider Identifier
1164439329
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
Practice address
275 W Higgins Rd
Hoffman Estates, IL 60195-3726
Phone
(847) 885-8820
Fax
(847) 885-9578
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X IL Primary

Addresses

Primary practice location

275 W Higgins Rd
Hoffman Estates, IL 60195-3726

Mailing address

275 W Higgins Rd
Hoffman Estates, IL 60195-3726
Phone (847) 885-8820

Other identifiers 1

IdentifierTypeStateIssuer
1621687OtherILBLUE CROSS BULE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000729 IL Practitioner - ChiropracticPractitioner - Pain Management 9830112119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Pain Management
Education
National College of Chiropractic, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health and Rehabilitation, SCGroup PAC ID 7214950591, 4 clinicians

Practice addresses (Care Compare)

900 National Pkwy
Suite 305
Schaumburg, IL 60173-5904
Phone (847) 885-8820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-003826ILMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health & Rehabilitation, SC Orthopedic CurrentSince Dec 1, 2005 Accepting new patients

Locations

275 W Higgins Rd
Hoffman Estates, IL 60169
Phone (847) 885-8820

900 National Pkwy
Ste 305
Schaumburg, IL 60173
Phone (847) 885-8820

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164439329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W HIGGINS RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601953726",
            "telephone_number": "847-885-8820",
            "fax_number": "847-885-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HIGGINS RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601953726",
            "telephone_number": "847-885-8820",
            "fax_number": "847-885-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONE",
        "first_name": "ALFRED",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC, DABCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BULE SHIELD",
            "identifier": "1621687",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.