Individual provider Active NPI

Craig A. Andresen, DC

  • Chiropractor
  • Elgin, IL
National Provider Identifier
1295840767
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008956 Issued in IL
Practice address
2410 Alft LN Ste 100
Elgin, IL 60124-7843
Phone
(847) 888-3383
Fax
(847) 888-3332
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008956 IL Primary

Addresses

Primary practice location

2410 Alft LN Ste 100
Elgin, IL 60124-7843

Mailing address

2410 Alft LN Ste 100
Elgin, IL 60124-7843
Phone (847) 888-3383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000752 IL Practitioner - Chiropractic 9931166873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andresen Active Healthcare, P.C.Group PAC ID 8426234857, 2 clinicians

Practice addresses (Care Compare)

2400 Big Timber Rd
Suite 110a
Elgin, IL 60124-7703
Phone (847) 888-3383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008956ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Andresen Active Healthcare, P.C. Chiropractor CurrentSince May 18, 2011 Accepting new patients
James P. Hulsebus Chiropractor Past Accepting new patients
Hulsebus Machesney Park Chiropractic LLC Chiropractor PastSince Jul 9, 2012 Accepting new patients

Locations

2400 Big Timber Rd
Ste 110A
Elgin, IL 60124
Phone (847) 888-3383

2410 Alft Ln
Ste 100
Elgin, IL 60124
Phone (847) 531-4883

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1295840767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ALFT LN STE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601247843",
            "telephone_number": "847-888-3383",
            "fax_number": "847-888-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 ALFT LN STE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601247843",
            "telephone_number": "847-888-3383",
            "fax_number": "847-888-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESEN",
        "first_name": "CRAIG",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.