Active NPI
Paul Ruzila, D.C.
- Chiropractor
- Chicago, IL
National Provider Identifier
1427145200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038010078
- Practice address
- 850 S Wabash Ave
Ste 290
Chicago, IL 60605-3641 - Phone
- (312) 212-1150
- Fax
- (312) 212-1160
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038010078 | IL | Primary |
Addresses
Primary practice location
850 S Wabash Ave
Ste 290
Chicago, IL 60605-3641
Mailing address
850 S Wabash Ave
Ste 290
Chicago, IL 60605-3641
Phone (312) 212-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01634259 | Other | IL | BLUE CROSS BLUE SHIELD IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
222 E Wisconsin Ave
Suite 15
Lake Forest, IL 60045-1701
Phone (312) 212-1150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038010078 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Ruzila D.C. LTD. | Chiropractor | Current | Accepting new patients |
Locations
850 S Wabash Ave
Ste 290
Chicago, IL 60605
Phone (312) 212-1150
222 E Wisconsin Ave
Ste 15
Lake Forest, IL 60045
Phone (312) 212-1150
Organizations & group practices 1
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.
-
- Chiropractor
- Chicago, IL
- NPI 1578772836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1427145200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 S WABASH AVE",
"address_2": "STE 290",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053641",
"telephone_number": "312-212-1150",
"fax_number": "312-212-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S WABASH AVE",
"address_2": "STE 290",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053641",
"telephone_number": "312-212-1150",
"fax_number": "312-212-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUZILA",
"first_name": "PAUL",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038010078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IL",
"identifier": "01634259",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.