Individual provider Active NPI

Jeffrey Watkin, D.C.

  • Chiropractor
  • Libertyville, IL
National Provider Identifier
1306821046
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
700 Florsheim Dr
Suite 12
Libertyville, IL 60048-5000
Phone
(847) 367-7131
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X IL
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

700 Florsheim Dr
Suite 12
Libertyville, IL 60048-5000

Mailing address

700 Florsheim Dr
Suite 12
Libertyville, IL 60048-5000
Phone (847) 367-7131

Other names 1

  • Dr. Jeffrey J Watkin Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000098 IL Practitioner - Chiropractic 5294785861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

275 S Rand Rd
Suite A9
Lake Zurich, IL 60047-2273
Phone (224) 662-4732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McHenry Chiropractic PLLC Chiropractor CurrentSince Jun 1, 2022 Accepting new patients
Evolve Chiropractic Lake Zurich PLLC Chiropractor CurrentSince Nov 15, 2024 Accepting new patients

Locations

275 S Rand Rd
Ste A9
Lake Zurich, IL 60047
Phone (224) 662-4732

3923 Mercy Dr
McHenry, IL 60050
Phone (815) 271-5901

Organizations & group practices 2

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1306821046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FLORSHEIM DR",
            "address_2": "SUITE 12",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485000",
            "telephone_number": "847-367-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FLORSHEIM DR",
            "address_2": "SUITE 12",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485000",
            "telephone_number": "847-367-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKIN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "WATKIN",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.