James C. Shroba, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

038007063 Issued in IL

Practice address

4809 W 95TH St
Oak Lawn, IL 60453-2501

Phone

(708) 425-0770

Fax

(708) 425-0880

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advantage Chiropractic and Rehabilitation, SC

  • Sports Physician Chiropractor
  • Oak Lawn, IL
  • NPI 1982823266
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427121763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532501",
            "telephone_number": "708-425-0770",
            "fax_number": "708-425-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532501",
            "telephone_number": "708-425-0770",
            "fax_number": "708-425-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROBA",
        "first_name": "JAMES",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038007063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mo Shirur, MD
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• Lori Short, APN
• Jada Shorter, SLP-CF
• Shreevarsha Shreekumar
• Adem Shuaipaj, DO
• Diwante Jamal Shuford, MD
• Jennifer Naa Adoley Shuford, MD
• Disha Kunal Shukla, P.T.
• Maya Shvarts

• Sports Physician Chiropractor in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Sports Physician Chiropractor in Illinois

• 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.