Active NPI
JSK Medical Associates, P.C.
Doing business as Sandman Chiropractic
- Chiropractor
- Bloomingdale, IL
National Provider Identifier
1184724874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009838
- Legal business name
- JSK MEDICAL ASSOCIATES, P.C.
- Doing business as
- Sandman Chiropractic
- Practice address
- 107 W Lake St
Suite 103
Bloomingdale, IL 60108-1027 - Phone
- (630) 351-0222
- Fax
- (773) 767-3944
- NPI assigned
- Sep 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tapan Joshi, DC
- Title
- President
- Phone
- (630) 388-8026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009838 | IL | Primary |
Addresses
Primary practice location
107 W Lake St
Suite 103
Bloomingdale, IL 60108-1027
Mailing address
107 W Lake St
Suite 103
Bloomingdale, IL 60108-1027
Phone (630) 351-0222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02233015 | Other | IL | BCBS PROVIDER # |
Other names 1
- Sandman Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
107 W Lake St
Ste 103
Bloomingdale, IL 60108
Phone (630) 351-0222
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Bloomingdale, IL
- NPI 1780780395
-
- Chiropractor
- Bloomingdale, IL
- NPI 1699383075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276128000000",
"number": "1184724874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W LAKE ST",
"address_2": "SUITE 103",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081027",
"telephone_number": "630-351-0222",
"fax_number": "773-767-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W LAKE ST",
"address_2": "SUITE 103",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081027",
"telephone_number": "630-351-0222",
"fax_number": "773-767-3944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JSK MEDICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-23",
"last_updated": "2010-06-10",
"status": "A",
"authorized_official_last_name": "JOSHI",
"authorized_official_first_name": "TAPAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-388-8026",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "02233015",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sandman Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.