Organization Active NPI

Teske Family Chiropractic Center LTD

  • Clinic/Center
  • Peotone, IL
National Provider Identifier
1447439849
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
042617033 Issued in IL
Legal business name
TESKE FAMILY CHIROPRACTIC CENTER LTD
Practice address
425 S Governors Hwy
Peotone, IL 60468-9116
Phone
(708) 258-3965
Fax
(708) 258-6640
NPI assigned
Nov 1, 2007
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Dr. Brenda Teske, D.C.NPI 1952401572
Title
President
Phone
(708) 258-3965

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
Clinic/Center 261Q00000X 042617033 IL Primary

Addresses

Primary practice location

425 S Governors Hwy
Peotone, IL 60468-9116

Mailing address

425 S Governors Hwy
PO Box 848
Peotone, IL 60468-9116
Phone (708) 258-3965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120001051 IL Part B Supplier - Clinic/Group Practice 6406035575 Receives reassigned benefits from 1 practitioner
Practice locations: Peotone, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1447439849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S GOVERNORS HWY",
            "address_2": "PO BOX 848",
            "city": "PEOTONE",
            "state": "IL",
            "postal_code": "604689116",
            "telephone_number": "708-258-3965",
            "fax_number": "708-258-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S GOVERNORS HWY",
            "city": "PEOTONE",
            "state": "IL",
            "postal_code": "604689116",
            "telephone_number": "708-258-3965",
            "fax_number": "708-258-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESKE FAMILY CHIROPRACTIC CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "TESKE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-258-3965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "042617033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peotone, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.