Active NPI
Alex Kazimier Swanson, DC
- Chiropractor
- Crystal Lake, IL
National Provider Identifier
1316411077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60909536
- Practice address
- 407 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6238 - Phone
- (847) 987-5085
- NPI assigned
- Jan 16, 2019
- 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 | CH60909536 | WA | Primary |
Addresses
Primary practice location
407 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6238
Mailing address
407 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6238
Phone (847) 987-5085
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
- Palmer College Chiropractic - Davenport, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
407 E Congress Pkwy
Suite C
Crystal Lake, IL 60014-6238
Phone (847) 987-5085
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A to Z Chiropractic SC | Chiropractor | Current | Accepting new patients |
Locations
411 E Congress Pkwy
Ste C
Crystal Lake, IL 60014
Phone (815) 455-8213
407 E Congress Pkwy
Ste C
Crystal Lake, IL 60014
Phone (847) 987-5085
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
- Crystal Lake, IL
- NPI 1770913519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1316411077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 E CONGRESS PKWY STE C",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146238",
"telephone_number": "847-987-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 E CONGRESS PKWY STE C",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146238",
"telephone_number": "847-987-5085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "ALEX",
"middle_name": "KAZIMIER",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-16",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60909536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.