Active NPI
Arnetra Gilliam, D.C.
- Chiropractor
- Wheaton, IL
National Provider Identifier
1265479505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 311 S Naperville Rd
Ste. C
Wheaton, IL 60187-5473 - Phone
- (630) 690-4040
- Fax
- (630) 690-4074
- NPI assigned
- Jun 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
311 S Naperville Rd
Ste. C
Wheaton, IL 60187-5473
Mailing address
311 S Naperville Rd
Ste. C
Wheaton, IL 60187-5473
Phone (630) 690-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080225000091 | IL | Practitioner - Chiropractic | 2668556069 | Practice locations: Evanston, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
708 Church St
Evanston, IL 60201-3840
Phone (847) 224-3219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russeau Team Healthcare, LTD. | Past | Accepting new patients | |
| Wheaton Healthcare, LLC | Past | Accepting new patients |
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.
-
- Medical Specialty Clinic/Center
- Wheaton, IL
- NPI 1326052382
-
- Rehabilitation Chiropractor
- Wheaton, IL
- NPI 1831692912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265479505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 S NAPERVILLE RD",
"address_2": "STE. C",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875473",
"telephone_number": "630-690-4040",
"fax_number": "630-690-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 S NAPERVILLE RD",
"address_2": "STE. C",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875473",
"telephone_number": "630-690-4040",
"fax_number": "630-690-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "ARNETRA",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, 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.
- 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.