Individual provider Active NPI

Matthew Dale Eschenbaum, D.C.

  • Chiropractor
  • Elmhurst, IL
National Provider Identifier
1164922332
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013181 Issued in IL
Practice address
275 N York St Ste 301
Elmhurst, IL 60126-2784
Phone
(630) 617-9790
NPI assigned
Feb 14, 2018
Last updated
Feb 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013181 IL Primary

Addresses

Primary practice location

275 N York St Ste 301
Elmhurst, IL 60126-2784

Mailing address

275 N York St Ste 301
Elmhurst, IL 60126-2784
Phone (630) 617-9790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180322002058 IL Practitioner - Chiropractic 2466714837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Health Center LTDGroup PAC ID 7517287667, 2 clinicians

Practice addresses (Care Compare)

45 S Dunton Ave
Arlington Heights, IL 60005-1401
Phone (847) 368-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013181ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Health Center LTD. Chiropractor CurrentSince Apr 1, 2022 Accepting new patients
Illinois Spinal Care,LTD. Chiropractor CurrentSince Mar 1, 2018 Accepting new patients

Locations

45 S Dunton Ave
Arlington Hts, IL 60005
Phone (847) 368-1122

275 N York St
Ste 301
Elmhurst, IL 60126
Phone (630) 617-9790

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1164922332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N YORK ST STE 301",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262784",
            "telephone_number": "630-617-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N YORK ST STE 301",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262784",
            "telephone_number": "630-617-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHENBAUM",
        "first_name": "MATTHEW",
        "middle_name": "DALE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.