Individual provider Active NPI

Erica Juris, DC

  • Chiropractor
  • Niles, IL
National Provider Identifier
1366095739
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013403 Issued in IL
Practice address
6916 W Keeney St
Niles, IL 60714-3005
Phone
(224) 587-0129
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X
Chiropractor 111N00000X 038.013403 IL Primary

Addresses

Primary practice location

6916 W Keeney St
Niles, IL 60714-3005

Mailing address

6259 N Caldwell Ave
Chicago, IL 60646-4141
Phone (224) 587-0129

Other practice location 1

131 S Northwest Hwy
Park Ridge, IL 60068-4228
Phone (224) 587-0129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013403ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Family Chiropractic PLLC Chiropractor CurrentSince Oct 20, 2024 Accepting new patients

Locations

6321 N Avondale Ave
Ste A108
Chicago, IL 60631
Phone (224) 587-0129

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1366095739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6259 N CALDWELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464141",
            "telephone_number": "224-587-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 W KEENEY ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143005",
            "telephone_number": "224-587-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 S Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600684228",
            "country_code": "US",
            "telephone_number": "224-587-0129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURIS",
        "first_name": "ERICA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.