Elliott James Jordan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012404 Issued in IL

Practice address

1425 N Main St
Wheaton, IL 60187-3581

Phone

(630) 668-9626

NPI assigned

Jun 21, 2013

Last updated

Jun 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiro One Wellness Center of North Orleans PLLCGroup PAC ID 0143694885, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiro One Wellness Center of North Orleans PLLC

  • Chiropractor
  • Chicago, IL
  • NPI 1114624962
  Medicare reassignment Care Compare group NPD
• Chiro One Wellness Center Metro of River North LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1477875615
  Medicare reassignment
• Zrelak Chiropractic Center, S.C.

  dba East Bank Chiropractic

  • Chiropractor
  • Chicago, IL
  • NPI 1083682264
  NPD
• Brambert Chiropractic and Acupuncture, LTD.

  • Clinic/Center
  • Bloomingdale, IL
  • NPI 1194286013
  NPD (past)

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1285073379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W CORNELIA AVE APT 802",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572707",
            "telephone_number": "330-423-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873581",
            "telephone_number": "630-668-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ELLIOTT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hakeem Jamal Jones
• Janice L Jones, L.C.S.W.
• Leslie Ann Jones, SLP
• Rhonda Jones
• Steve Jones, LCPC
• Mary Fritz Jordan, OD
• Richard Anthony Jorgensen, M.D.
• Kerri Josefek
• Bradford L Joseph, PTA
• Samantha H Joseph, LCSW

• Chiropractor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.