Individual provider Active NPI

Amy Elaine Shevokas, D.C.

  • Chiropractor
  • Munster, IN
National Provider Identifier
1255656534
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011662 Issued in IL
Practice address
706 Ridge Rd
Munster, IN 46321-1612
Phone
(219) 836-8890
Fax
(219) 836-2344
NPI assigned
Mar 30, 2010
Last updated
Mar 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011662 IL Primary

Addresses

Primary practice location

706 Ridge Rd
Munster, IN 46321-1612

Mailing address

3649 N Kedzie Ave
Chicago, IL 60618-4513
Phone (773) 961-8970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000700 IL Practitioner - Chiropractic 3274666557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crosstown Chiropractic LLCGroup PAC ID 7618275132, 2 clinicians

Practice addresses (Care Compare)

2800 W Irving Park Rd
Suite E
Chicago, IL 60618-3644
Phone (773) 961-8970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
038011662ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Crosstown Chiropractic LLC Chiropractor CurrentSince Mar 5, 2016 Accepting new patients
Kosek Kiro LLC Chiropractor CurrentSince Jul 4, 2023 Accepting new patients
Trimboli Bogie Inc PC Chiropractor PastSince Jul 1, 2008 Accepting new patients
Lincoln-Way Chiropractic Clinic LLC Chiropractor PastSince Apr 6, 2010 Accepting new patients

Locations

2800 W Irving Park Rd
Ste E
Chicago, IL 60618
Phone (773) 961-8970

3649 N Kedzie Ave
Chicago, IL 60618
Phone (773) 961-8970

195 S Marley Rd
New Lenox, IL 60451
Phone (815) 485-8200

Organizations & group practices 4

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": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1255656534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184513",
            "telephone_number": "773-961-8970",
            "fax_number": "773-961-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 RIDGE RD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211612",
            "telephone_number": "219-836-8890",
            "fax_number": "219-836-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVOKAS",
        "first_name": "AMY",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.