Organization Active NPI

Bieleckichiropractic LLC

  • Chiropractor
  • Downers Grove, IL
National Provider Identifier
1376306282
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BIELECKICHIROPRACTIC LLC
Doing business as
SpineCo Chiropractic
Practice address
1121 Warren Ave Ste 210
Downers Grove, IL 60515-3572
Phone
(773) 851-0984
NPI assigned
Feb 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Dr. Ryan Bielecki, DCNPI 1538811393
Title
Ceo/Owner
Phone
(773) 851-0984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1121 Warren Ave Ste 210
Downers Grove, IL 60515-3572

Mailing address

1121 Warren Ave Ste 210
Downers Grove, IL 60515-3572

Other names 1

  • SpineCo Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260527000483 IL Part B Supplier - Clinic/Group Practice 0941770390 Receives reassigned benefits from 1 practitioner
Practice locations: Downers Grove, IL

National Provider Directory

National Provider Directory

Locations

1121 Warren Ave
Ste 210
Downers Grove, IL 60515
Phone (630) 442-0169

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1376306282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 WARREN AVE STE 210",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WARREN AVE STE 210",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153572",
            "telephone_number": "773-851-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIELECKICHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "BIELECKI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "773-851-0984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpineCo Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.