Active NPI
Sean D Royer, D.C.
- Sports Physician Chiropractor
- Highland Park, IL
National Provider Identifier
1295809713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Practice address
- 1770 1St St
Suite 400
Highland Park, IL 60035-3200 - Phone
- (847) 926-8835
- Fax
- (847) 926-8837
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | IL | Primary |
Addresses
Primary practice location
1770 1St St
Suite 400
Highland Park, IL 60035-3200
Mailing address
1770 1St St
Suite 400
Highland Park, IL 60035-3200
Phone (847) 926-8835
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
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1834 Glenview Rd
Glenview, IL 60025-6921
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038008141 | IL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiromend | Current | Accepting new patients |
Locations
1834 Glenview Rd
Ste 2W
Glenview, IL 60025
Phone (847) 730-3988
1834 Glenview Rd
Fl 2
Glenview, IL 60025
Phone (847) 845-5984
Organizations & group practices 1
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.
-
- Chiropractor
- Glenview, IL
- NPI 1437549888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295809713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 1ST ST",
"address_2": "SUITE 400",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353200",
"telephone_number": "847-926-8835",
"fax_number": "847-926-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 1ST ST",
"address_2": "SUITE 400",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353200",
"telephone_number": "847-926-8835",
"fax_number": "847-926-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYER",
"first_name": "SEAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
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.
- 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.