Individual provider Active NPI

Dean P Cherniak, DC

  • Chiropractor
  • Woodstock, IL
National Provider Identifier
1497804645
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008504 Issued in IL
Practice address
216 S Jefferson St
Apt 2N
Woodstock, IL 60098-3454
Phone
(815) 426-0006
NPI assigned
Jan 9, 2007
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008504 IL Primary

Addresses

Primary practice location

216 S Jefferson St
Apt 2N
Woodstock, IL 60098-3454

Mailing address

216 S Jefferson St
Apt 2N
Woodstock, IL 60098-3454
Phone (815) 426-0006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000387 IL Practitioner - Chiropractic 5597719781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Wellness LLC Chiropractor CurrentSince Aug 23, 2024 Accepting new patients
Active Wellness, LLC Chiropractor CurrentSince Aug 23, 2024 Accepting new patients
Total Healthcare Inc Chiropractor PastSince Jan 1, 2013 Accepting new patients
Cherniak Family Chiropractic, PC Chiropractor Past Accepting new patients

Locations

4555 N Lincoln Ave
Chicago, IL 60625
Phone (773) 328-8153

925 N Milwaukee Ave
Unit 300
Vernon Hills, IL 60061
Phone (224) 632-1859

Organizations & group practices 4

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1497804645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S JEFFERSON ST",
            "address_2": "APT 2N",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983454",
            "telephone_number": "815-426-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S JEFFERSON ST",
            "address_2": "APT 2N",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983454",
            "telephone_number": "815-426-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNIAK",
        "first_name": "DEAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.