Active NPI
Anne I. Gordon, D.C.
- Chiropractor
- Chicago, IL
National Provider Identifier
1366461006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 30 S Michigan Ave
Ste 400
Chicago, IL 60603-3211 - Phone
- (312) 726-1353
- Fax
- (312) 726-5238
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 | IL | Primary |
Addresses
Primary practice location
30 S Michigan Ave
Ste 400
Chicago, IL 60603-3211
Mailing address
30 S Michigan Ave
Ste 400
Chicago, IL 60603-3211
Phone (312) 726-1353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National University of Arts and Sciences, Medical Department, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30 S Michigan Ave
Suite 400
Chicago, IL 60603-3222
Phone (312) 726-1353
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038006815 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Chiropractic Center, S.C. | Chiropractor | Current | Accepting new patients |
| Chicago Physical Therapy & Rehabilitation | Past | Accepting new patients | |
| Chicago Physical Therapy & Rehabilitation Center, Inc. | Past | Accepting new patients |
Locations
30 S Michigan Ave
Ste 400
Chicago, IL 60603
Phone (312) 422-0042
Organizations & group practices 3
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.
-
- Chiropractor
- Chicago, IL
- NPI 1841499035
-
- Physical Therapist
- Chicago, IL
- NPI 1073782686
-
- Specialist
- Chicago, IL
- NPI 1467884007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366461006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 S MICHIGAN AVE",
"address_2": "STE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606033211",
"telephone_number": "312-726-1353",
"fax_number": "312-726-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 S MICHIGAN AVE",
"address_2": "STE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606033211",
"telephone_number": "312-726-1353",
"fax_number": "312-726-5238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ANNE",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.