Individual provider Active NPI

Jeanene Livanos, DC

  • Chiropractor
  • Winfield, IL
National Provider Identifier
1255324463
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007520 Issued in IL
Practice address
27W281 Geneva Rd, Suite C
Winfield, IL 60190
Phone
(331) 806-3072
Fax
(331) 806-3073
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007520 IL Primary

Addresses

Primary practice location

27W281 Geneva Rd, Suite C
Winfield, IL 60190

Mailing address

27W281 Geneva Rd, Suite C
Winfield, IL 60190
Phone (331) 806-3072

Other names 1

  • Dr. Jeanene Nathe Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805001250 IL Practitioner - Chiropractic 2163493693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 W281 Geneva Rd
Suite C
Winfield, IL 60190-2037
Phone (331) 806-3072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038007520ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Livanos Chiropractic Health Care Chiropractor CurrentSince Mar 1, 2019 Accepting new patients
Hofmaier Chiropractic LTD Chiropractor Past Accepting new patients
Trager Healing LLC Chiropractor Past Accepting new patients

Locations

27W281 Geneva Rd
Ste C
Winfield, IL 60190
Phone (331) 806-3072

Organizations & group practices 3

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1255324463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W281 GENEVA RD, SUITE C",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "60190",
            "telephone_number": "331-806-3072",
            "fax_number": "331-806-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W281 GENEVA RD, SUITE C",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "60190",
            "telephone_number": "331-806-3072",
            "fax_number": "331-806-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVANOS",
        "first_name": "JEANENE",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANENE",
            "last_name": "NATHE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.