Active NPI
Optimal Innate Life Energy Chiropractic PC
- Chiropractor
- Plainfield, IL
National Provider Identifier
1194132043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012498
- Legal business name
- OPTIMAL INNATE LIFE ENERGY CHIROPRACTIC PC
- Practice address
- 24510 W Lockport St Ste 102
Plainfield, IL 60544-2312 - Phone
- (815) 577-3377
- Fax
- (815) 824-4337
- NPI assigned
- Jul 11, 2014
- 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
- Jeffrey Neumann, D.C.
- Title
- Owner
- Phone
- (312) 714-2292
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 | 038012498 | IL | Primary |
Addresses
Primary practice location
24510 W Lockport St Ste 102
Plainfield, IL 60544-2312
Mailing address
24510 W Lockport St Ste 102
Plainfield, IL 60544-2312
Phone (815) 577-3377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
24510 W Lockport St
Ste 102
Plainfield, IL 60544
Phone (815) 577-3377
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Plainfield, IL
- NPI 1245664549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661817600000",
"number": "1194132043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24510 W LOCKPORT ST STE 102",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442312",
"telephone_number": "815-577-3377",
"fax_number": "815-824-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24510 W LOCKPORT ST STE 102",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442312",
"telephone_number": "815-577-3377",
"fax_number": "815-824-4337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL INNATE LIFE ENERGY CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-11",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A",
"authorized_official_last_name": "NEUMANN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-714-2292",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038012498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.