Active NPI
Shawni Lyn Groezinger, DC
- Chiropractor
- Lanark, IL
National Provider Identifier
1295749448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0038-008397
- Practice address
- 502 Il Route 64
Lanark, IL 61046-8904 - Phone
- (815) 493-2666
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0038-008397 | IL | Primary |
Addresses
Primary practice location
502 Il Route 64
Lanark, IL 61046-8904
Mailing address
502 Il Route 64
Lanark, IL 61046-8904
Phone (815) 493-2666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0038-008397 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295749448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 IL ROUTE 64",
"city": "LANARK",
"state": "IL",
"postal_code": "610468904",
"telephone_number": "815-493-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 IL ROUTE 64",
"city": "LANARK",
"state": "IL",
"postal_code": "610468904",
"telephone_number": "815-493-2666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROEZINGER",
"first_name": "SHAWNI",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "0038-008397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanark, IL
- Eastland Cusd 308
- Frances House Inc (Gordon Jones Terrace)
- Freeport Regional Health Care Foundation (FHN Family Healthcare Center Lanark)
- Nancy L Guenzler, MS,LCPC
- Diana L Henson, DC
- Lanark Dental Clinic, P.C. (Lanark Dental Clinic)
- Lanark Fire Protection District
- Lanark Pharmacy, Inc (Lanark Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.