Organization Active NPI

Schulte Family Chiropractic P C

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1497013460
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
IL038008879 Issued in IL
Legal business name
SCHULTE FAMILY CHIROPRACTIC P C
Practice address
440 S 3Rd St
Suite 204
St Charles, IL 60174-2854
Phone
(630) 485-5088
Fax
(630) 584-4985
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Dr. Gregory Scott Schulte, D.O.NPI 1316089063
Title
Chiropractor
Phone
(630) 485-5088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL038008879 IL Primary

Addresses

Primary practice location

440 S 3Rd St
Suite 204
St Charles, IL 60174-2854

Mailing address

440 S 3Rd St
Suite 204
St Charles, IL 60174-2854
Phone (630) 485-5088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120525000150 IL Part B Supplier - Clinic/Group Practice 4385807528 Receives reassigned benefits from 2 practitioners
Practice locations: St Charles, IL

National Provider Directory

National Provider Directory

Locations

440 S 3rd St
Ste 204
St Charles, IL 60174
Phone (630) 485-5088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1497013460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S 3RD ST",
            "address_2": "SUITE 204",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742854",
            "telephone_number": "630-485-5088",
            "fax_number": "630-584-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S 3RD ST",
            "address_2": "SUITE 204",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742854",
            "telephone_number": "630-485-5088",
            "fax_number": "630-584-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHULTE FAMILY CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "630-485-5088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "IL038008879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.