Individual provider Active NPI

Michael James Skiba, DC

  • Chiropractor
  • New Lenox, IL
National Provider Identifier
1477304376
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013735 Issued in IL
Practice address
911 Chatfield Rd
New Lenox, IL 60451-3046
Phone
(815) 592-9448
NPI assigned
Mar 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013735 IL Primary

Addresses

Primary practice location

911 Chatfield Rd
New Lenox, IL 60451-3046

Mailing address

911 Chatfield Rd
New Lenox, IL 60451-3046

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224000608 IL Practitioner - Chiropractic 3274053111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Chiropractic Barrington PLLCGroup PAC ID 7113398942, 2 clinicians

Practice addresses (Care Compare)

777 Lake Zurich Rd
Suite 105
Barrington, IL 60010-3122
Phone (877) 277-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Chiropractic Schaumburg PLLC Chiropractor CurrentSince Jan 24, 2025 Accepting new patients
Evolve Chiropractic Barrington PLLC Chiropractor CurrentSince Aug 1, 2025 Accepting new patients

Locations

777 Lake Zurich Rd
Ste 105
Barrington, IL 60010
Phone (847) 277-2990

10705 Ruth Rd
Huntley, IL 60142
Phone (847) 277-2990

1501 E Woodfield Rd
Ste 117E
Schaumburg, IL 60173
Phone (847) 648-4931

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1477304376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CHATFIELD RD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 CHATFIELD RD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513046",
            "telephone_number": "815-592-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBA",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.