Individual provider Active NPI

Ryan James Hallum, D.C.

  • Chiropractor
  • Lake in the Hills, IL
National Provider Identifier
1245393560
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010131 Issued in IL
Practice address
43 W Acorn LN
Lake in the Hills, IL 60156-4804
Phone
(847) 658-8541
Fax
(847) 658-7395
NPI assigned
Dec 18, 2006
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010131 IL Primary

Addresses

Primary practice location

43 W Acorn LN
Lake in the Hills, IL 60156-4804

Mailing address

43 W Acorn LN
Lake in the Hills, IL 60156-4804
Phone (847) 658-8541

Other identifiers 1

IdentifierTypeStateIssuer
5632113OtherILBCBS OF IL PROVIDER ID#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071109000522 IL Practitioner - Chiropractic 7315951266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Chiropractic, SCGroup PAC ID 1153335005, 3 clinicians

Practice addresses (Care Compare)

43 W Acorn LN
Lake in the Hills, IL 60156-4804
Phone (847) 658-8541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038010131ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Chiropractic, SC Chiropractor CurrentSince Oct 15, 2007 Accepting new patients

Locations

265 Stonegate Rd
Algonquin, IL 60102
Phone (847) 658-4900

43 W Acorn Ln
Lk in the Hls, IL 60156
Phone (847) 658-8541

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1245393560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W ACORN LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564804",
            "telephone_number": "847-658-8541",
            "fax_number": "847-658-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W ACORN LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564804",
            "telephone_number": "847-658-8541",
            "fax_number": "847-658-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLUM",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER ID#",
            "identifier": "5632113",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.