Active NPI
Eric Elliott Cundiff, D.C.
- Chiropractor
- Wheaton, IL
National Provider Identifier
1457759151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012731
- Practice address
- 1600 N Main St
Wheaton, IL 60187-3145 - Phone
- (630) 510-7799
- NPI assigned
- Dec 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 038012731 | IL | Primary |
Addresses
Primary practice location
1600 N Main St
Wheaton, IL 60187-3145
Mailing address
128 Wallace Street
Bartlett, IL 60103-6521
Phone (847) 385-8636
Other names 1
- Dr. Eric Elliott Cundiff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pri Chicago PLLC | Current | Accepting new patients |
Locations
188 W Industrial Dr
Ste 112
Elmhurst, IL 60126
Phone (847) 220-4536
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Elmhurst, IL
- NPI 1639822737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1457759151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 WALLACE STREET",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601036521",
"telephone_number": "847-385-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N MAIN ST",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873145",
"telephone_number": "630-510-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNDIFF",
"first_name": "ERIC",
"middle_name": "ELLIOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-11",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIC",
"last_name": "CUNDIFF",
"middle_name": "ELLIOTT",
"prefix": "DR.",
"credential": "DC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.