Active NPI
Jason Ambrose Thompson, D.C.
- Chiropractor
- Grayslake, IL
National Provider Identifier
1366741902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011885
- Practice address
- 15 Commerce Dr Ste 108
Grayslake, IL 60030-7807 - Phone
- (847) 223-3158
- Fax
- (888) 481-4758
- NPI assigned
- Mar 22, 2011
- Sex
- Male
- 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 | 038.011885 | IL | Primary |
Addresses
Primary practice location
15 Commerce Dr Ste 108
Grayslake, IL 60030-7807
Mailing address
425 N Liberty St
Elgin, IL 60120-4268
Phone (847) 223-3158
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
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2295 Valley Creek Dr
Suite a
Elgin, IL 60123-2694
Phone (847) 742-5070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011885 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adjusted Health LTD | Chiropractor | Current | Accepting new patients |
| Lake County Physical Medicine, S.C. | Past | Accepting new patients | |
| Atkinson Chiropractic and Acupuncture SC | Chiropractor | Past | Accepting new patients |
Locations
425 N Liberty St
Elgin, IL 60120
Phone (708) 742-5070
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
- Elgin, IL
- NPI 1801291042
-
- Chiropractor
- Grayslake, IL
- NPI 1295930584
-
- Physical Medicine & Rehabilitation Physician
- Grayslake, IL
- NPI 1558799924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1366741902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N LIBERTY ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601204268",
"telephone_number": "847-223-3158",
"fax_number": "888-481-4758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COMMERCE DR STE 108",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600307807",
"telephone_number": "847-223-3158",
"fax_number": "888-481-4758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JASON",
"middle_name": "AMBROSE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-22",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
- The Couple'S Place (The Couple's Place of Lake County)
- The Josselyn Center NFP
- Therapeutic Links
- Therapeutic Links, P.C.
- Therapeutic Services
- Lucas Thompson
- Thriving Sparrow Counseling & Wellness
- Kathryn Asha Thumme, LMFT, CST
- Thurston & Associates (North Suburban Counseling)
- Debra Thurston, M.A., L.C.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.