Kelly Lynn Geritano, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009688 Issued in IL

Practice address

7060 Centennial Drive
Suite 102
Tinley Park, IL 60477

Phone

(708) 614-9800

Fax

(708) 614-9800

NPI assigned

Oct 2, 2006

Last updated

Oct 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Complete Wellness Center, S.C,

  • Chiropractor
  • Tinley Park, IL
  • NPI 1639350432
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1215020789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12928 S LA GRANGE RD",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641717",
            "telephone_number": "708-614-9800",
            "fax_number": "708-614-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 CENTENNIAL DRIVE",
            "address_2": "SUITE 102",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60477",
            "telephone_number": "708-614-9800",
            "fax_number": "708-614-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERITANO",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01632592",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kenneth George, RPH
• Natalia Gerardi
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• Shayan Feyzi Gharagozlou, DO
• Yosafe Gholar
• Gift of Time Therapy PLLC

• Chiropractor in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.