Individual provider Active NPI

Susan Marie Stonitsch, D.C.

  • Chiropractor
  • Rock Falls, IL
National Provider Identifier
1265501704
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008977 Issued in IL
Practice address
808 W Rock Falls Rd
Rock Falls, IL 61071-2766
Phone
(815) 626-1887
Fax
(815) 626-9602
NPI assigned
Nov 7, 2006
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008977 IL Primary

Addresses

Primary practice location

808 W Rock Falls Rd
Rock Falls, IL 61071-2766

Mailing address

808 W Route 30
Rock Falls, IL 61071-2766
Phone (815) 626-1887

Other identifiers 1

IdentifierTypeStateIssuer
9827470OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080215000600 IL Practitioner - Chiropractic 7315020138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 E 5TH St
Sterling, IL 61081-3651
Phone (815) 626-1887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008977ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stonitsch Health and Body Wellness Chiropractor CurrentSince Mar 31, 2023 Accepting new patients

Locations

808 W Route 30
Rock Falls, IL 61071
Phone (815) 626-1887

202 E 5th St
Sterling, IL 61081
Phone (815) 626-1887

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1265501704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W ROUTE 30",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610712766",
            "telephone_number": "815-626-1887",
            "fax_number": "815-626-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W ROCK FALLS RD",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610712766",
            "telephone_number": "815-626-1887",
            "fax_number": "815-626-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONITSCH",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9827470",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Falls, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.