Individual provider Active NPI

Antonio E Bifero, DC

  • Chiropractor
  • Niles, IL
National Provider Identifier
1407971708
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010099 Issued in IL
Practice address
9194 W Golf Rd
Niles, IL 60714-5806
Phone
(729) 284-7401
Fax
(847) 795-1750
NPI assigned
Mar 19, 2007
Last updated
May 16, 2024By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010099 IL Primary

Addresses

Primary practice location

9194 W Golf Rd
Niles, IL 60714-5806

Mailing address

200 E. Roosevelt Rd
Box 291
Lombard, IL 60148-4539
Phone (630) 889-6449

Other practice location 1

200 E Roosevelt Rd
Lombard, IL 60148-4539
Phone (630) 629-9664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Medical Group SC Past Accepting new patients
Advanced Healthcare PC Chiropractor PastSince May 19, 2024 Accepting new patients

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1407971708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E. ROOSEVELT RD",
            "address_2": "BOX 291",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484539",
            "telephone_number": "630-889-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9194 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145806",
            "telephone_number": "729-284-7401",
            "fax_number": "847-795-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601484539",
            "country_code": "US",
            "telephone_number": "630-629-9664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIFERO",
        "first_name": "ANTONIO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.