Organization Active NPI

Dr. Calvin R George PC

Doing business as George Chiropractic

  • Chiropractor
  • Addison, IL
National Provider Identifier
1467553412
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038004012 Issued in IL
Legal business name
DR. CALVIN R GEORGE PC
Doing business as
George Chiropractic
Practice address
190 N Swift Rd
Suite S
Addison, IL 60101-1476
Phone
(630) 599-0950
Fax
(630) 599-0952
NPI assigned
Sep 25, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Dr. Calvin Ross George, D.C.NPI 1396752713
Title
Doctor
Phone
(630) 599-0950

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
Chiropractor 111N00000X 038004012 IL Primary

Addresses

Primary practice location

190 N Swift Rd
Suite S
Addison, IL 60101-1476

Mailing address

190 N Swift Rd
Suite S
Addison, IL 60101-1476
Phone (630) 599-0950

Other identifiers 1

IdentifierTypeStateIssuer
002282063OtherILBCBS PROVIDER #

Other names 1

  • George Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061204000544 IL Part B Supplier - Clinic/Group Practice 6709885668 Receives reassigned benefits from 1 practitioner
Practice locations: Addison, 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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1467553412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N SWIFT RD",
            "address_2": "SUITE S",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011476",
            "telephone_number": "630-599-0950",
            "fax_number": "630-599-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N SWIFT RD",
            "address_2": "SUITE S",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011476",
            "telephone_number": "630-599-0950",
            "fax_number": "630-599-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CALVIN R GEORGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-599-0950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "002282063",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.