Individual provider Active NPI

Matthew Thacker, DC

  • Chiropractor
  • Homewood, IL
National Provider Identifier
1235449471
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011476 Issued in IL
Practice address
18300 Dixie Hwy Ste 2W
Homewood, IL 60430-3259
Phone
(708) 922-1883
Fax
(708) 922-1992
NPI assigned
Oct 20, 2010
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011476 IL Primary

Addresses

Primary practice location

18300 Dixie Hwy Ste 2W
Homewood, IL 60430-3259

Mailing address

18300 Dixie Hwy Ste 2W
Homewood, IL 60430-3259
Phone (708) 922-1883

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115000165 IL Practitioner - Chiropractic 5890980916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18679 Dixie Hwy
Homewood, IL 60430-3728
Phone (708) 922-1883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011476ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Adjusting to Health Chiropractor CurrentSince May 25, 2013 Accepting new patients
Chiro One Wellness Center of Yorkville LLC Chiropractor PastSince Jul 19, 2012 Accepting new patients

Locations

18300 Dixie Hwy
Ste 2W
Homewood, IL 60430
Phone (708) 922-1883

18679 Dixie Hwy
Homewood, IL 60430
Phone (708) 922-1883

1938 Ridge Rd
Homewood, IL 60430
Phone (708) 922-1883

Organizations & group practices 2

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1235449471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 DIXIE HWY STE 2W",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303259",
            "telephone_number": "708-922-1883",
            "fax_number": "708-922-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 DIXIE HWY STE 2W",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303259",
            "telephone_number": "708-922-1883",
            "fax_number": "708-922-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.