Individual provider Active NPI

Artemio Del Real, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1215372941
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012419 Issued in IL
Practice address
600 W Fulton St Ste 304
Chicago, IL 60661-1260
Phone
(312) 756-1778
Fax
(312) 756-1777
NPI assigned
May 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012419 IL Primary

Addresses

Primary practice location

600 W Fulton St Ste 304
Chicago, IL 60661-1260

Mailing address

600 W Fulton St Ste 304
Chicago, IL 60661-1260
Phone (312) 756-1778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160927001432 IN Practitioner - Chiropractic 6608000963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012419ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back & Joint Rehab Center LLC Chiropractor CurrentSince Aug 16, 2016 Accepting new patients

Locations

127 E 113th Ave
Crown Point, IN 46307
Phone (219) 331-6041

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1215372941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W FULTON ST STE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611260",
            "telephone_number": "312-756-1778",
            "fax_number": "312-756-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W FULTON ST STE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611260",
            "telephone_number": "312-756-1778",
            "fax_number": "312-756-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL REAL",
        "first_name": "ARTEMIO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.