Active NPI
Jodie Lynn Schultz, D.C.
- Sports Physician Chiropractor
- Grayslake, IL
National Provider Identifier
1497820765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 38010512
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090409000086 | IL | Practitioner - Chiropractic | 0143377176 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38010512 | IL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Specialists, Inc. | Current | 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.
-
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Grayslake, IL
- NPI 1770933384
IL
-
- Customized Equipment (DME)
- Grayslake, IL
- NPI 1437821600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.