Kyle Bastean, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013443 Issued in IL

Practice address

305 N Vine St Unit 101
New Lenox, IL 60451-1652

Phone

(815) 717-6483

NPI assigned

Nov 3, 2019

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• MVP Chiropractic, LLC

  • Chiropractor
  • New Lenox, IL
  • NPI 1417278854
  NPD

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1205470259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E SCHILLER ST APT 212",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811817",
            "telephone_number": "262-945-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N VINE ST UNIT 101",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511652",
            "telephone_number": "815-717-6483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4613 Beau Bien Blvd Apt 30",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605323684",
            "country_code": "US",
            "telephone_number": "262-945-3602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTEAN",
        "first_name": "KYLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-03",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Barkemeyer, OTR/L
• Alison Barna, RN, MSN, CWON, APN
• Alexandria Lynn Barnard, MOT, OTR/L
• Diana K Bartling, MA, LCPC
• Sara Basile, OTR/L
• Jennifer Bazan, DPT
• Kimberly A Beall, MOT, OTR/L
• Because They Grow Therapies LTD.
• Jonette P Belicena, MD
• Benchmark Psychiatric Services LTD

• 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 Nov 4, 2024; 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.