Individual provider Active NPI

Judy Lyn Morey, D.C.

  • Rehabilitation Chiropractor
  • Homer Glen, IL
National Provider Identifier
1215091491
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Practice address
12448 W 143Rd St
Homer Glen, IL 60491-6894
Phone
(708) 301-6411
Fax
(708) 301-3387
NPI assigned
Dec 21, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X IL Primary

Addresses

Primary practice location

12448 W 143Rd St
Homer Glen, IL 60491-6894

Mailing address

12448 W 143Rd St
Homer Glen, IL 60491-6894
Phone (708) 301-6411

Other identifiers 1

IdentifierTypeStateIssuer
9915214OtherILBLUECROSS AND BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000396 IL Practitioner - Chiropractic 5597868984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12448 W 143Rd St
Homer Glen, IL 60491-6894
Phone (708) 301-6411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic LTD. Rehabilitation CurrentSince Oct 27, 1987 Accepting new patients

Locations

12448 W 143rd St
Homer Glen, IL 60491
Phone (708) 301-6411

Interoperability endpoints

  • Direct secure messaging: drjudymoreydc@familychiroltd.myhcdirect.com

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215091491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12448 W 143RD ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916894",
            "telephone_number": "708-301-6411",
            "fax_number": "708-301-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12448 W 143RD ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916894",
            "telephone_number": "708-301-6411",
            "fax_number": "708-301-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREY",
        "first_name": "JUDY",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUESHIELD",
            "identifier": "9915214",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.