Joel Edward Kiselka, DC

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

038013603 Issued in IL

Practice address

1406 W Chicago Ave
Chicago, IL 60642-5479

Phone

(312) 243-3338

NPI assigned

Sep 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkiselka@brannickclinic.com

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.

• Prosperian LLC

  • Internist Chiropractor
  • Oakbrook Terrace, IL
  • NPI 1548980667
  NPD Authorized official
• Brannick Clinic of Natural Medicine, S.C.

  • Internist Chiropractor
  • St Charles, IL
  • NPI 1881868016
  NPD (past)

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1396352407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5954 N WINTHROP AVE APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603530",
            "telephone_number": "312-285-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425479",
            "telephone_number": "312-243-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 E 31st St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "IL",
            "postal_code": "605261218",
            "country_code": "US",
            "telephone_number": "708-447-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISELKA",
        "first_name": "JOEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038013603",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038013603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jkiselka@brannickclinic.com",
            "affiliation": "N",
            "endpointDescription": "Secure clinic email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1406 W Chicago Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606425479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marielle Raso Kirstein, MS MFT
• Kirsten S. Langley, Psy.D. P.C.
• Denise Kirsten
• Kirstin Schafer Psy.D PLLC
• Lauren Alice Kirwan, CPNP-AC
• Estella Kiser, LSW
• Giavanna Louise Kish
• Deena Kishawi, MD
• Sami Kishawi, MD
• Apeksha Kishore, PA-C

• Internist Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Internist Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.