Individual provider Active NPI

Paul F. Stoetzel, D.C.

  • Chiropractor
  • Lemont, IL
National Provider Identifier
1346212149
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008919 Issued in IL
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

Updated by the provider on Dec 8, 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 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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Michael McVady LLC Chiropractor CurrentSince Jan 8, 2023 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

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.

Verify at the official NPI Registry.