Individual provider Active NPI

Nicholas Schmidlkofer, DC

  • Neurology Chiropractor
  • Wood Dale, IL
National Provider Identifier
1205496502
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
038013354 Issued in IL
Practice address
199 S Addison Rd Ste 106
Wood Dale, IL 60191-1978
Phone
(630) 766-1552
NPI assigned
Jun 18, 2019
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 038013354 IL Primary

Addresses

Primary practice location

199 S Addison Rd Ste 106
Wood Dale, IL 60191-1978

Mailing address

199 S Addison Rd Ste 106
Wood Dale, IL 60191-1978
Phone (630) 766-1552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191203002715 IL Practitioner - Chiropractic 5496188583
I20230925003499 WI Practitioner - Chiropractic 5496188583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038013354ILMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurologic Wellness Institute, LLC Neurology CurrentSince Oct 1, 2023 Accepting new patients

Locations

199 S Addison Rd
Ste 106
Wood Dale, IL 60191
Phone (630) 766-1552

20900 Swenson Dr
Ste 650
Waukesha, WI 53186
Phone (414) 600-1795

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1205496502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 S ADDISON RD STE 106",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911978",
            "telephone_number": "630-766-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S ADDISON RD STE 106",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911978",
            "telephone_number": "630-766-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDLKOFER",
        "first_name": "NICHOLAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": "038013354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood Dale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.

Verify at the official NPI Registry.