Jessica Anne Frericks, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008886 Issued in IL

Practice address

10007 N Main St Ste D
Richmond, IL 60071-9466

Phone

(312) 636-6180

NPI assigned

Mar 31, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Frericks, LLC

  • Chiropractor
  • Richmond, IL
  • NPI 1518386564

  IL

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1346668076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10007 N MAIN ST STE D",
            "city": "RICHMOND",
            "state": "IL",
            "postal_code": "600719466",
            "telephone_number": "815-975-6560",
            "fax_number": "815-975-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10007 N MAIN ST STE D",
            "city": "RICHMOND",
            "state": "IL",
            "postal_code": "600719466",
            "telephone_number": "312-636-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRERICKS",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Donohoe
• Scott Michael Drabant, RPH
• Family Medicine Specialists, Inc.
• Margaret Mary Filpi, PHARM.D.
• Samantha Fisher
• Frericks, LLC
• Hackmatack, LLC.
• Destine Nicole Haley, LMT
• Healthstat on-Site Clinic Watlow Richmond Il
• Raymond Louis Heppner Jr.

• All providers in Richmond, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.