Individual provider Active NPI

Patrick Balsier, D.C.

  • Chiropractor
  • Crest Hill, IL
National Provider Identifier
1376548388
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
385083 Issued in IL
Practice address
2430 Plainfield Rd
Crest Hill, IL 60403-1467
Phone
(815) 439-2121
Fax
(815) 439-2153
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 385083 IL Primary

Addresses

Primary practice location

2430 Plainfield Rd
Crest Hill, IL 60403-1467

Mailing address

2430 Plainfield Rd
Crest Hill, IL 60403-1467
Phone (815) 439-2121

Other identifiers 1

IdentifierTypeStateIssuer
0998202537OtherILBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140225000228 IL Practitioner - Chiropractic 4587839766 Reassigns benefits to 1 organization
Practice locations: Crest Hill, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crest Hill Clinic, LTD.Group PAC ID 3577952761, 5 clinicians

Practice addresses (Care Compare)

2430 Plainfield Rd
Suite 1a
Crest Hill, IL 60403-1467
Phone (815) 439-2120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
385083ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Crest Hill Clinic LTD Chiropractor CurrentSince Oct 1, 1986 Accepting new patients

Locations

2430 Plainfield Rd
Ste 1A
Crest Hill, IL 60403
Phone (815) 439-2120

2430 Plainfield Rd
Joliet, IL 60403
Phone (815) 439-2120

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1376548388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 PLAINFIELD RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031467",
            "telephone_number": "815-439-2121",
            "fax_number": "815-439-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 PLAINFIELD RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031467",
            "telephone_number": "815-439-2121",
            "fax_number": "815-439-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSIER",
        "first_name": "PATRICK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "385083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0998202537",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.