Individual provider Active NPI

Daniel J. Wilke, D.C.

  • Chiropractor
  • Evanston, IL
National Provider Identifier
1487934857
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008891 Issued in IL
Practice address
1601 Sherman Ave
Suite 540
Evanston, IL 60201-5038
Phone
(847) 328-8000
Fax
(847) 328-8005
NPI assigned
Aug 17, 2011
Last updated
Aug 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008891 IL Primary

Addresses

Primary practice location

1601 Sherman Ave
Suite 540
Evanston, IL 60201-5038

Mailing address

1601 Sherman Ave
Suite 540
Evanston, IL 60201-5038
Phone (847) 328-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038008891ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel John Wilke, D.C., P.a. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1487934857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SHERMAN AVE",
            "address_2": "SUITE 540",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015038",
            "telephone_number": "847-328-8000",
            "fax_number": "847-328-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SHERMAN AVE",
            "address_2": "SUITE 540",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015038",
            "telephone_number": "847-328-8000",
            "fax_number": "847-328-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKE",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.