Active NPI
Thomas M Winslow, DC
- Chiropractor
- Waukegan, IL
National Provider Identifier
1164531802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038005706
- Practice address
- 1390 N Greenbay Road
Waukegan, IL 60085 - Phone
- (847) 625-9000
- Fax
- (847) 625-0249
- NPI assigned
- Aug 29, 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 | 038005706 | IL | Primary |
Addresses
Primary practice location
1390 N Greenbay Road
Waukegan, IL 60085
Mailing address
1390 N Greenbay Road
Waukegan, IL 60085
Phone (847) 625-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04923212 | Other | IL | BC BS |
| 2336721 | Other | IL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050922000390 | IL | Practitioner - Chiropractic | 5193759819 | Practice locations: Waukegan, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1390 N Green Bay Rd
Waukegan, IL 60085-1104
Phone (847) 625-9000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038005706 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1164531802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 N GREENBAY ROAD",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "60085",
"telephone_number": "847-625-9000",
"fax_number": "847-625-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 N GREENBAY ROAD",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "60085",
"telephone_number": "847-625-9000",
"fax_number": "847-625-0249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINSLOW",
"first_name": "THOMAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038005706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "04923212",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2336721",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.