Organization Active NPI

Chiromend

  • Chiropractor
  • Glenview, IL
National Provider Identifier
1437549888
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010873 Issued in IL
Legal business name
CHIROMEND
Practice address
1834 Glenview Rd
Suite 2W
Glenview, IL 60025-6921
Phone
(847) 730-3988
NPI assigned
Jan 23, 2015
Last updated
Aug 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Dr. Justin Gruby, D.C.NPI 1972657344
Title
President
Phone
(847) 730-3988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010873 IL Primary

Addresses

Primary practice location

1834 Glenview Rd
Suite 2W
Glenview, IL 60025-6921

Mailing address

1834 Glenview Rd
Suite 2W
Glenview, IL 60025-6921
Phone (847) 730-3988

Other names 1

  • ChiroMend P.C. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150720003120 IL Part B Supplier - Clinic/Group Practice 3072826064 Receives reassigned benefits from 6 practitioners
Practice locations: Glenview, IL

National Provider Directory

National Provider Directory

Locations

1834 Glenview Rd
Fl 2
Glenview, IL 60025
Phone (847) 845-5984

1834 Glenview Rd
Ste 2W
Glenview, IL 60025
Phone (847) 730-3988

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1437549888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 GLENVIEW RD",
            "address_2": "SUITE 2W",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600256921",
            "telephone_number": "847-730-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 GLENVIEW RD",
            "address_2": "SUITE 2W",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600256921",
            "telephone_number": "847-730-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROMEND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "GRUBY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-730-3988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiroMend P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.