Active NPI
Timothy R Gilbert
- Chiropractor
- Orland Park, IL
National Provider Identifier
1437549136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012769
- Practice address
- 10761 163Rd PL
Orland Park, IL 60467-8861 - Phone
- (630) 204-3757
- NPI assigned
- Feb 2, 2015
- 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 | 038.012769 | IL | Primary |
Addresses
Primary practice location
10761 163Rd PL
Orland Park, IL 60467-8861
Mailing address
10761 163Rd PL
Orland Park, IL 60467-8861
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, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9601 165TH St
Suite 4
Orland Park, IL 60467-5661
Phone (708) 403-9450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012769 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Strength Spine and Health Center LLC | Chiropractor | Current | Accepting new patients |
Locations
9601 165th St
Ste 4
Orland Park, IL 60467
Phone (708) 403-9450
10761 163rd Pl
Orland Park, IL 60467
Phone (708) 403-9450
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
- Orland Park, IL
- NPI 1255723615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1437549136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10761 163RD PL",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10761 163RD PL",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678861",
"telephone_number": "630-204-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "TIMOTHY",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.