Jillian Rose Mazeika, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013640 Issued in IL

Practice address

1831 Blackhawk Blvd
South Beloit, IL 61080-2409

Phone

(815) 389-1492

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reich Chiropractic Clinic PC

  • Chiropractor
  • South Beloit, IL
  • NPI 1891777082
  Medicare reassignment NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1477159341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 BLACKHAWK BLVD",
            "city": "SOUTH BELOIT",
            "state": "IL",
            "postal_code": "610802409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 BLACKHAWK BLVD",
            "city": "SOUTH BELOIT",
            "state": "IL",
            "postal_code": "610802409",
            "telephone_number": "815-389-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZEIKA",
        "first_name": "JILLIAN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fair Oaks Rehabilitation and Health Care Center, LLC (Fair Oaks Rehabilitation & Health Care Center)
• Jessica Garcia
• Susan D Geise, RN
• Janet Renee Kueker, PHARMD
• Hannah Lamarca, M.A., C-F SLP
• Erica Lynn Myher, LPN
• Thuy T Nguyen, DO
• Jessica A Ortega
• Kara Phillips
• Prairie Hill CCSD 133

• Chiropractor in South Beloit, IL
• Providers in South Beloit, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.