Individual provider Active NPI

John D Jevitz, D.C.

  • Chiropractor
  • Elmhurst, IL
National Provider Identifier
1295915312
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
135 S Robert T Palmer Dr
Suite 23
Elmhurst, IL 60126-3412
Phone
(630) 834-3391
Fax
(630) 834-3390
NPI assigned
Nov 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

135 S Robert T Palmer Dr
Suite 23
Elmhurst, IL 60126-3412

Mailing address

135 S Robert T Palmer Dr
Suite 23
Elmhurst, IL 60126-3412
Phone (630) 834-3391

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000433 IL Practitioner - Chiropractic 3274717061 Reassigns benefits to 1 organization
Practice locations: Elmhurst, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elmhurst Olympic Service CorporationGroup PAC ID 1052408747, 6 clinicians

Practice addresses (Care Compare)

533 S York St
Elmhurst, IL 60126-3951
Phone (630) 833-4437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-006149ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst Olympic Service Corporation Chiropractor CurrentSince Jan 1, 2012 Accepting new patients
Jevitz Chiropractic Clinic Chiropractor PastSince Jan 28, 2011 Accepting new patients
Alignmed Partners, PC PastSince Jan 1, 2012 Accepting new patients

Locations

135 S Robert T Palmer Dr
Ste 23
Elmhurst, IL 60126
Phone (630) 833-4437

533 S York St
Ste D
Elmhurst, IL 60126
Phone (630) 833-4437

533 S York St
Elmhurst, IL 60126
Phone (630) 833-4437

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1295915312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S ROBERT T PALMER DR",
            "address_2": "SUITE 23",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263412",
            "telephone_number": "630-834-3391",
            "fax_number": "630-834-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S ROBERT T PALMER DR",
            "address_2": "SUITE 23",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263412",
            "telephone_number": "630-834-3391",
            "fax_number": "630-834-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEVITZ",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.