Individual provider Active NPI

Eric R. Ghiselli, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1467600312
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011228 Issued in IL
Practice address
2936 N Racine Ave Apt 1F
Chicago, IL 60657-4236
Phone
(765) 532-5981
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011228 IL Primary

Addresses

Primary practice location

2936 N Racine Ave Apt 1F
Chicago, IL 60657-4236

Mailing address

2936 N Racine Ave Apt 1F
Chicago, IL 60657-4236
Phone (765) 532-5981

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304002817 IL Practitioner - Chiropractic 3072929645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jodi H Kirsch DC, LLCGroup PAC ID 0345533220, 3 clinicians

Practice addresses (Care Compare)

212 N Carpenter St
Chicago, IL 60607-1713
Phone (312) 928-9282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011228ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wicker Park Spine and Stability, LLC Chiropractor CurrentSince Jul 1, 2022 Accepting new patients
Jodi H Kirsch DC,LLC Chiropractor CurrentSince Feb 1, 2021 Accepting new patients

Locations

212 N Carpenter St
#A1A2
Chicago, IL 60607
Phone (312) 928-9282

212 N Carpenter St
Chicago, IL 60607
Phone (312) 928-9282

212 N Carpenter St
Unit A1A2
Chicago, IL 60607

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1467600312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 N RACINE AVE APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574236",
            "telephone_number": "765-532-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 N RACINE AVE APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574236",
            "telephone_number": "765-532-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHISELLI",
        "first_name": "ERIC",
        "middle_name": "R.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011228",
            "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 Sep 4, 2008; 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.