Active NPI
Troy J Dukowitz, D.C.
- Chiropractor
- Swansea, IL
National Provider Identifier
1306966866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 4980 Benchmark Centre Dr
Suite 100
Swansea, IL 62226-2041 - Phone
- (618) 624-9080
- Fax
- (618) 624-9090
- NPI assigned
- Mar 29, 2007
- Last updated
- Dec 6, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
4980 Benchmark Centre Dr
Suite 100
Swansea, IL 62226-2041
Mailing address
4980 Benchmark Centre Dr
Suite 100
Swansea, IL 62226-2041
Phone (618) 624-9080
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K27457 | Other | IL | MEDICARE ID |
| 08232179 | Other | IL | BLUE CROSS BLUE SHIELD |
| 736013 | Other | IL | HEALTHLINK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038008365 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnessone of Swansea, LLC | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1306966866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4980 BENCHMARK CENTRE DR",
"address_2": "SUITE 100",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262041",
"telephone_number": "618-624-9080",
"fax_number": "618-624-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4980 BENCHMARK CENTRE DR",
"address_2": "SUITE 100",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262041",
"telephone_number": "618-624-9080",
"fax_number": "618-624-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKOWITZ",
"first_name": "TROY",
"middle_name": "J",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "K27457",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08232179",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "736013",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.