Active NPI
Ryan James Hulsebus, D.C.
- Chiropractor
- Machesney Park, IL
National Provider Identifier
1457599342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011354
- Practice address
- 1010 Harlem Rd
Machesney Park, IL 61115-2518 - Phone
- (815) 654-1044
- Fax
- (815) 639-3529
- NPI assigned
- Jan 30, 2009
- 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 | 038011354 | IL | Primary |
Addresses
Primary practice location
1010 Harlem Rd
Machesney Park, IL 61115-2518
Mailing address
1010 Harlem Rd
Machesney Park, IL 61115-2518
Phone (815) 654-1044
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
- Life Chiropractic College - West, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1010 Harlem Rd
Machesney Park, IL 61115-2518
Phone (815) 654-1044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038011354 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hulsebus Machesney Park Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| James P. Hulsebus | Chiropractor | Past | Accepting new patients |
Locations
1010 Harlem Rd
Machesney Pk, IL 61115
Phone (815) 654-1044
Organizations & group practices 2
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
- Machesney Park, IL
- NPI 1588926414
-
- Chiropractor
- Machesney Park, IL
- NPI 1972785418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348963200000",
"number": "1457599342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 HARLEM RD",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611152518",
"telephone_number": "815-654-1044",
"fax_number": "815-639-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 HARLEM RD",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611152518",
"telephone_number": "815-654-1044",
"fax_number": "815-639-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSEBUS",
"first_name": "RYAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-30",
"last_updated": "2012-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Machesney Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.