Individual provider Active NPI

Christopher Brock Kessler, D.C.

  • Rehabilitation Chiropractor
  • Naperville, IL
National Provider Identifier
1457599029
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038.011320 Issued in IL
Practice address
1300 Iroquois Ave
Naperville, IL 60563-8553
Phone
(314) 488-3743
Fax
(888) 891-5022
NPI assigned
Feb 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 08002436A IN
Rehabilitation Chiropractor 111NR0400X 038.011320 IL Primary

Addresses

Primary practice location

1300 Iroquois Ave
Naperville, IL 60563-8553

Mailing address

1300 Iroquois Ave
Naperville, IL 60563-8553
Phone (314) 488-3743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130715000567 IL Practitioner - Chiropractic 2860521051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 Iroquois Ave
Suite 270
Naperville, IL 60563-8493
Phone (630) 857-3704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011320ILMDRehabilitation Chiropractor
08002436AINMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Rehab, LLC CurrentSince May 1, 2013 Accepting new patients
Harrison County Chiropractic PC PastSince Dec 13, 2020 Accepting new patients
Corydon Pain Management Clinic Inc Past Accepting new patients

Locations

1300 Iroquois Ave
Ste 270
Naperville, IL 60563
Phone (630) 428-0201

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1457599029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638553",
            "telephone_number": "314-488-3743",
            "fax_number": "888-891-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638553",
            "telephone_number": "314-488-3743",
            "fax_number": "888-891-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "BROCK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IN",
            "license": "08002436A",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038.011320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.