Individual provider Active NPI

Zachary Langgle, D.C.

  • Chiropractor
  • Forest Park, IL
National Provider Identifier
1396072492
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-012007 Issued in IL
Practice address
7251 Madison St
Forest Park, IL 60130-1764
Phone
(708) 405-6980
NPI assigned
Nov 10, 2009
Last updated
Mar 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-012007 IL Primary

Addresses

Primary practice location

7251 Madison St
Forest Park, IL 60130-1764

Mailing address

PO Box 5988
Dept. 20-5007
Carol Stream, IL 60197-5988
Phone (630) 754-8788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120619000611 IL Practitioner - Chiropractic 0648307652 Practice locations: Downers Grove, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2585 Ogden Ave
Downers Grove, IL 60515-1708
Phone (724) 322-8113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-012007ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Langgle Chiropractic LTD. Chiropractor Current Accepting new patients
Steel City Family Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

2585 Ogden Ave
Downers Grove, IL 60515
Phone (630) 729-7024

Organizations & group practices 2

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": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1396072492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5988",
            "address_2": "DEPT. 20-5007",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975988",
            "telephone_number": "630-754-8788",
            "fax_number": "630-754-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 MADISON ST",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301764",
            "telephone_number": "708-405-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGGLE",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-10",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-012007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.