Individual provider Active NPI

Pasquale G Calcagno, DC

  • Chiropractor
  • Bartlett, IL
National Provider Identifier
1376611525
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
260 E Army Trail Rd
Suite D
Bartlett, IL 60103
Phone
(630) 830-8600
Fax
(630) 830-2273
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

260 E Army Trail Rd
Suite D
Bartlett, IL 60103

Mailing address

260 E Army Trail Rd
Suite D
Bartlett, IL 60103
Phone (630) 830-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050726001002 IL Practitioner - Chiropractic 1658337530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Charles Service CorporationGroup PAC ID 1456501667, 5 clinicians

Practice addresses (Care Compare)

1615 W Main St
St Charles, IL 60174-1629
Phone (630) 513-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007980ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Service Corporation Chiropractor CurrentSince Sep 1, 2012 Accepting new patients
Carol Stream Service Corporation Chiropractor CurrentSince Apr 27, 2005 Accepting new patients
Sycamore Service Corporation Chiropractor CurrentSince May 13, 2024 Accepting new patients
Elmhurst Olympic Service Corporation Chiropractor PastSince May 1, 2006 Accepting new patients

Locations

260 E Army Trail Rd
Ste D
Bartlett, IL 60103
Phone (630) 830-8600

1615 W Main St
St Charles, IL 60174
Phone (630) 513-0600

1680 Mediterranean Dr
Ste 101
Sycamore, IL 60178
Phone (815) 899-6061

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376611525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E ARMY TRAIL RD",
            "address_2": "SUITE D",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "60103",
            "telephone_number": "630-830-8600",
            "fax_number": "630-830-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E ARMY TRAIL RD",
            "address_2": "SUITE D",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "60103",
            "telephone_number": "630-830-8600",
            "fax_number": "630-830-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCAGNO",
        "first_name": "PASQUALE",
        "middle_name": "G",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "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 Bartlett, 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.

Verify at the official NPI Registry.