Individual provider Active NPI

Anthony Joseph Vuckovich, D.C.

  • Chiropractor
  • Frankfort, IL
National Provider Identifier
1336515949
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012682 Issued in IL
Practice address
9645 Lincolnway LN Ste 112
Frankfort, IL 60423
Phone
(815) 534-5744
Fax
(815) 531-5771
NPI assigned
Aug 18, 2015
Last updated
Mar 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012682 IL Primary

Addresses

Primary practice location

9645 Lincolnway LN Ste 112
Frankfort, IL 60423

Mailing address

9645 Lincolnway LN Ste 112
Frankfort, IL 60423-1878
Phone (815) 534-5744

Other practice location 1

9645 Lincolnway Ln Ste 112
Frankfort, IL 60423
Phone (815) 534-5744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329000405 IL Practitioner - Chiropractic 1951641901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9645 Lincolnway LN
Suite 112
Frankfort, IL 60423-1878
Phone (708) 738-3963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012682ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Chiropractic Inc Chiropractor CurrentSince Mar 6, 2019 Accepting new patients

Locations

9645 Lincolnway Ln
Ste 112
Frankfort, IL 60423
Phone (708) 738-3963

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1336515949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 LINCOLNWAY LN STE 112",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231878",
            "telephone_number": "815-534-5744",
            "fax_number": "815-531-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 LINCOLNWAY LN STE 112",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "60423",
            "telephone_number": "815-534-5744",
            "fax_number": "815-531-5771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9645 Lincolnway Ln Ste 112",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "60423",
            "country_code": "US",
            "telephone_number": "815-534-5744",
            "fax_number": "815-531-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUCKOVICH",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.