Individual provider Active NPI

Adam Nicholas Dudlicek, D.C.

  • Chiropractor
  • Oak Park, IL
National Provider Identifier
1215954151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38009619 Issued in IL
Practice address
127 N Marion St
Suite 6
Oak Park, IL 60301-1092
Phone
(708) 445-7331
Fax
(708) 445-7339
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38009619 IL Primary

Addresses

Primary practice location

127 N Marion St
Suite 6
Oak Park, IL 60301-1092

Mailing address

1070 Rockport Dr
Carol Stream, IL 60188-2986
Phone (708) 445-7331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38009619ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Park Sport & Spine SC Chiropractor Past Accepting new patients

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215954151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 ROCKPORT DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882986",
            "telephone_number": "708-445-7331",
            "fax_number": "708-445-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N MARION ST",
            "address_2": "SUITE 6",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011092",
            "telephone_number": "708-445-7331",
            "fax_number": "708-445-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLICEK",
        "first_name": "ADAM",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38009619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.