Individual provider Active NPI

Ashley Lederman, D.C.

  • Chiropractor
  • Bolingbrook, IL
National Provider Identifier
1336688597
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013066 Issued in IL
Practice address
440 W Boughton Rd
#102
Bolingbrook, IL 60440-1892
Phone
(630) 517-9340
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013066 IL Primary

Addresses

Primary practice location

440 W Boughton Rd
#102
Bolingbrook, IL 60440-1892

Mailing address

1275 Butterfield Rd
Ste 110
Wheaton, IL 60189-8849
Phone (630) 510-0080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170404000131 IL Practitioner - Chiropractic 3274819388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAndrews Chiropractic Clinic LLCGroup PAC ID 1759622715, 2 clinicians

Practice addresses (Care Compare)

1275 Butterfield Rd
Suite 110
Wheaton, IL 60189-8849
Phone (630) 510-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McAndrews Chiropractic Clinic LLC Chiropractor CurrentSince Aug 4, 2020 Accepting new patients
One Goal Wellness, Inc Chiropractor PastSince Aug 30, 2017 Accepting new patients

Locations

1275 Butterfield Rd
Ste 110
Wheaton, IL 60189
Phone (630) 510-0080

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1336688597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 BUTTERFIELD RD",
            "address_2": "STE 110",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898849",
            "telephone_number": "630-510-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD",
            "address_2": "#102",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401892",
            "telephone_number": "630-517-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERMAN",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.