Organization Active NPI

Evergreen Park Spine & Injury Center PC

  • Chiropractor
  • Evergreen Park, IL
National Provider Identifier
1285283879
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EVERGREEN PARK SPINE & INJURY CENTER PC
Practice address
3348 W 95TH St
Evergreen Park, IL 60805-2236
Phone
(708) 856-8056
Fax
(312) 275-7605
NPI assigned
Sep 6, 2019
Organization subpart
Yes
Parent organization
APRIL J. MILLER, D.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
April Miller, D.C., F.P.S.C.NPI 1972672624
Title
President
Phone
(708) 856-8056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3348 W 95TH St
Evergreen Park, IL 60805-2236

Mailing address

3348 W 95TH St
Evergreen Park, IL 60805-2236
Phone (708) 856-8056

Other identifiers 2

IdentifierTypeStateIssuer
1285283879OtherNPI
1972672624OtherILNPI

Other names 1

  • April J. Miller, D.C., EPSIC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.epsicpc.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200428000205 IL Part B Supplier - Clinic/Group Practice 9537599949 Receives reassigned benefits from 1 practitioner
Practice locations: Evergreen Park, IL

National Provider Directory

National Provider Directory

Locations

3348 W 95th St
Evergreen Pk, IL 60805
Phone (630) 865-5441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1285283879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052236",
            "telephone_number": "708-856-8056",
            "fax_number": "800-399-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052236",
            "telephone_number": "708-856-8056",
            "fax_number": "312-275-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PARK SPINE & INJURY CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APRIL J. MILLER, D.C.",
        "enumeration_date": "2019-09-06",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-856-8056",
        "authorized_official_credential": "D.C., F.P.S.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285283879",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972672624",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.epsicpc.net",
            "affiliation": "N",
            "address_1": "3348 W 95th St",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608052236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "April J. Miller, D.C., EPSIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "April J. Miller, D.C., EPSIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.