Individual provider Active NPI

Jodie Lynn Schultz, D.C.

  • Sports Physician Chiropractor
  • Grayslake, IL
National Provider Identifier
1497820765
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
38010512 Issued in IL
Practice address
1015 N Corporate Cir Ste D
Grayslake, IL 60030-7813
Phone
(847) 599-9900
Fax
(847) 599-9901
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 38010512 IL Primary

Addresses

Primary practice location

1015 N Corporate Cir Ste D
Grayslake, IL 60030-7813

Mailing address

1015 N Corporate Cir Ste D
Grayslake, IL 60030-7813
Phone (847) 599-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090409000086 IL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 0143377176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Medical Specialists, Inc.Group PAC ID 1850667759, 2 clinicians

Practice addresses (Care Compare)

1015 N Corporate Cir
Suite D
Grayslake, IL 60030-7813
Phone (847) 599-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38010512ILMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Specialists, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Balanced Living Chiropractic & Wellness Center, LTD Past Accepting new patients

Locations

1015 N Corporate Cir
Ste D
Grayslake, IL 60030
Phone (847) 543-4319

495 N Riverside Dr
Ste 102
Gurnee, IL 60031
Phone (847) 599-9171

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1497820765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N CORPORATE CIR STE D",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307813",
            "telephone_number": "847-599-9900",
            "fax_number": "847-599-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N CORPORATE CIR STE D",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307813",
            "telephone_number": "847-599-9900",
            "fax_number": "847-599-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JODIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "38010512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

Verify at the official NPI Registry.