Individual provider Active NPI

Ashley Anne Daliege, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1487958294
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011856 Issued in IL
Practice address
11012 South Western Ave.
Chicago, IL 60643
Phone
(773) 298-0990
Fax
(773) 445-1364
NPI assigned
Jan 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 038011856 IL Primary

Addresses

Primary practice location

11012 South Western Ave.
Chicago, IL 60643

Mailing address

11012 South Western Ave.
Chicago, IL 60643
Phone (630) 740-7060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110211000090 IL Practitioner - Chiropractic 2567642366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeclinic Chiropractic of Illinois LLCGroup PAC ID 1153600648, 6 clinicians

Practice addresses (Care Compare)

2000 Oakbrook Ctr
Oak Brook, IL 60523-9002
Phone (612) 868-6894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011856ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeclinic Chiropractic of Illinois LLC Chiropractor CurrentSince Jan 6, 2025 Accepting new patients
Elevated Health Essentials, LLC Chiropractor Past Accepting new patients
Koldenhoven Chiropractic LLC Chiropractor Past Accepting new patients

Locations

2000 Oakbrook Ctr
Oak Brook, IL 60523
Phone (612) 868-6894

1220 Lakeview Dr
Romeoville, IL 60446
Phone (630) 536-9077

Organizations & group practices 3

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": "1294444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1487958294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 SOUTH WESTERN AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60643",
            "telephone_number": "630-740-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 SOUTH WESTERN AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60643",
            "telephone_number": "773-298-0990",
            "fax_number": "773-445-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALIEGE",
        "first_name": "ASHLEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011856",
            "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 Jan 8, 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.