Active NPI
Jeffrey Ryan Schwan, D.C.
- Chiropractor
- Northbrook, IL
National Provider Identifier
1285886762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011182
- Practice address
- 3340 Dundee Rd
Suite 2C4
Northbrook, IL 60062-2324 - Phone
- (224) 235-4651
- Fax
- (224) 235-4654
- NPI assigned
- Oct 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011182 | IL | Primary |
| Chiropractor | 111N00000X | CH 60062374 | WA |
Addresses
Primary practice location
3340 Dundee Rd
Suite 2C4
Northbrook, IL 60062-2324
Mailing address
3340 Dundee Rd
Suite 2C4
Northbrook, IL 60062-2324
Phone (224) 235-4651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3340 Dundee Rd
2C4
Northbrook, IL 60062-2331
Phone (224) 235-4651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 60062374 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Sport & Spine, SC | Current | Accepting new patients | |
| Essential Chiropractic and Associates Inc | Chiropractor | Past | Accepting new patients |
| Tuttle Chiropractic Center PS | Chiropractor | Past | Accepting new patients |
Locations
3340 Dundee Rd
Ste 2C4
Northbrook, IL 60062
Phone (224) 235-4651
Organizations & group practices 3
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.
-
- Sports Physician Chiropractor
- Northbrook, IL
- NPI 1134474414
-
- Chiropractor
- Bellevue, WA
- NPI 1235311895
-
- Chiropractor
- Seattle, WA
- NPI 1043403710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1285886762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 DUNDEE RD",
"address_2": "SUITE 2C4",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622324",
"telephone_number": "224-235-4651",
"fax_number": "224-235-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 DUNDEE RD",
"address_2": "SUITE 2C4",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622324",
"telephone_number": "224-235-4651",
"fax_number": "224-235-4654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWAN",
"first_name": "JEFFREY",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-16",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011182",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 60062374",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.