Active NPI
Paul F. Stoetzel, D.C.
- Chiropractor
- Lemont, IL
National Provider Identifier
1346212149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038008919
- Practice address
- 1192 Walter St
Suite C
Lemont, IL 60439-2903 - Phone
- (630) 257-8700
- Fax
- (630) 257-1376
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 038008919 | IL | Primary |
Addresses
Primary practice location
1192 Walter St
Suite C
Lemont, IL 60439-2903
Mailing address
1243 State St Ste 106B
Lemont, IL 60439-4402
Phone (630) 988-8787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040114000308 | IL | Practitioner - Chiropractic | 1254230642 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1243 State St
Lemont, IL 60439-4402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael McVady LLC | Chiropractor | Current | Accepting new patients |
Locations
1243 State St
Ste 106
Lemont, IL 60439
Phone (630) 257-8700
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1346212149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 STATE ST STE 106B",
"city": "LEMONT",
"state": "IL",
"postal_code": "604394402",
"telephone_number": "630-988-8787",
"fax_number": "630-257-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1192 WALTER ST",
"address_2": "SUITE C",
"city": "LEMONT",
"state": "IL",
"postal_code": "604392903",
"telephone_number": "630-257-8700",
"fax_number": "630-257-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOETZEL",
"first_name": "PAUL",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038008919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lemont, IL
- Sparkle Dental Group LLC (Dentique - Lemont)
- Mark A Spencer, DN
- Jennifer L. Splitt-Krull, DDS
- St Joseph Rehabilitation Services LLC
- Dennis Owen Steinbrenner, R.PH.
- Stoetzel'S Planet Chiropractic LTD
- Stoffel and Tomazin Dental Associates, LTD
- Kenneth M Stoffel
- Michelle Stoklosa, APN
- Chris Stout, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.