Individual provider Active NPI

Brian Charles Karwowski, D.C.

  • Chiropractor
  • Elmhurst, IL
National Provider Identifier
1174692255
Registry record updated Aug 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010183 Issued in IL
Practice address
110 W Park Ave
Ste. C
Elmhurst, IL 60126-6201
Phone
(630) 359-5483
Fax
(630) 359-5624
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010183 IL Primary

Addresses

Primary practice location

110 W Park Ave
Ste. C
Elmhurst, IL 60126-6201

Mailing address

110 W Park Ave
Ste. C
Elmhurst, IL 60126-6201
Phone (630) 359-5483

Other identifiers 2

IdentifierTypeStateIssuer
K16560OtherILMEMBER NUMBER
211452OtherILMEDICARE PIN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Medicine, LTD. Chiropractor PastSince Jul 15, 2004 Accepting new patients

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344038400000",
    "number": "1174692255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W PARK AVE",
            "address_2": "STE. C",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601266201",
            "telephone_number": "630-359-5483",
            "fax_number": "630-359-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W PARK AVE",
            "address_2": "STE. C",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601266201",
            "telephone_number": "630-359-5483",
            "fax_number": "630-359-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARWOWSKI",
        "first_name": "BRIAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMBER NUMBER",
            "identifier": "K16560",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN NUMBER",
            "identifier": "211452",
            "state": "IL"
        }
    ],
    "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 Aug 4, 2012; 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.