Byron Derrik Schultz, BS, BS, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-005723 Issued in IL

Practice address

500 W Maple St
Suite 201
New Lenox, IL 60451-2908

Phone

(815) 463-1130

Fax

(815) 463-1150

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Bachelor of Science

State licenses

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.

• Family Care Chiropractic Center of New Lenox PC

  • Chiropractor
  • New Lenox, IL
  • NPI 1003948480
  Authorized official Same address or phone

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1174655450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAPLE ST",
            "address_2": "SUITE 201",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512908",
            "telephone_number": "815-463-1130",
            "fax_number": "815-463-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAPLE ST",
            "address_2": "SUITE 201",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512908",
            "telephone_number": "815-463-1130",
            "fax_number": "815-463-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "BYRON",
        "middle_name": "DERRIK",
        "name_prefix": "Dr.",
        "credential": "BS, BS, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-005723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leesa Ann Sasic-Mitsos, DDS PC
• Shannon Schaefer, OTR/L
• Molly Schmitt
• Richelle I Schneider, LCSW
• Marisa M Schrum, FNP-BC
• Jessica Louise Schweers
• Laura Scott, FNP
• Kim Lynn Segvich
• Vanessa L Seisser, PHARMD
• Sarah Shaban

• Chiropractor in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.