Individual provider Active NPI

Aireal Keefer

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1467274043
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.014202 Issued in IL
Practice address
4555 N Lincoln Ave
Chicago, IL 60625-2102
Phone
(773) 328-8153
NPI assigned
Oct 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038.014202 IL Primary

Addresses

Primary practice location

4555 N Lincoln Ave
Chicago, IL 60625-2102

Mailing address

1456 W Addison St Apt 1N
Chicago, IL 60613-3733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114003040 IL Practitioner - Chiropractic 2860926755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Wellness LLCGroup PAC ID 3072752864, 21 clinicians

Practice addresses (Care Compare)

4555 N Lincoln Ave
Chicago, IL 60625-2102
Phone (847) 791-7012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.014202ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Wellness LLC Chiropractor CurrentSince Oct 15, 2024 Accepting new patients
Active Wellness, LLC Chiropractor CurrentSince Oct 15, 2024 Accepting new patients

Locations

4555 N Lincoln Ave
Chicago, IL 60625
Phone (773) 328-8153

2514 N Milwaukee Ave
Chicago, IL 60647
Phone (312) 216-2452

560 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 328-8153

215 W Superior St
Chicago, IL 60654
Phone (773) 906-5600

3514 N Southport Ave
Chicago, IL 60657
Phone (773) 248-2544

710 Deerfield Rd
Deerfield, IL 60015
Phone (224) 632-1860

134 N York St
Elmhurst, IL 60126
Phone (331) 462-1167

910 Davis St
Evanston, IL 60201
Phone (773) 598-4387

20505 N Rand Rd
Ste 218
Kildeer, IL 60047
Phone (847) 481-8728

1105 N Elmhurst Rd
Mt Prospect, IL 60056
Phone (224) 676-2318

15222 S La Grange Rd
Orland Park, IL 60462

40 N Northwest Hwy
Park Ridge, IL 60068
Phone (773) 231-7081

925 N Milwaukee Ave
Unit 300
Vernon Hills, IL 60061
Phone (224) 632-1859

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.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1467274043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 W ADDISON ST APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252102",
            "telephone_number": "773-328-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "AIREAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.