Individual provider Active NPI

Joseph L Glowiak, DC, MS

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1265985303
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013008 Issued in IL
Practice address
225 W Hubbard St Ste 302
Chicago, IL 60654-4916
Phone
(773) 598-4387
NPI assigned
Jul 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013008 IL Primary

Addresses

Primary practice location

225 W Hubbard St Ste 302
Chicago, IL 60654-4916

Mailing address

225 W Hubbard St Ste 302
Chicago, IL 60654-4916
Phone (773) 598-4387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161202000948 IL Practitioner - Chiropractic 0244510550 Reassigns benefits to 1 organization
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
038013008ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Wellness, LLC Chiropractor 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1265985303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W HUBBARD ST STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544916",
            "telephone_number": "773-598-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W HUBBARD ST STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544916",
            "telephone_number": "773-598-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOWIAK",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.