Individual provider Active NPI

Steven J Waldo, D.C.

  • Chiropractor
  • Elgin, IL
National Provider Identifier
1508839283
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010568 Issued in IL
Practice address
2385 Bowes Rd Ste 100
Elgin, IL 60123-5501
Phone
(847) 741-3355
Fax
(847) 741-3355
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 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 038010568 IL Primary

Addresses

Primary practice location

2385 Bowes Rd Ste 100
Elgin, IL 60123-5501

Mailing address

2385 Bowes Rd Ste 100
Elgin, IL 60123-5501
Phone (847) 741-3355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060620000161 IL Practitioner - Chiropractic 3678585338 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

Practice addresses (Care Compare)

2385 Bowes Rd
Suite 100
Elgin, IL 60123-5501
Phone (847) 741-3355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038010568ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health in Balance Chiropractic Center, LTD. Chiropractor CurrentSince Mar 30, 2015 Accepting new patients

Locations

750 Fletcher Dr
Ste 304
Elgin, IL 60123
Phone (847) 742-0375

2385 Bowes Rd
Ste 100
Elgin, IL 60123
Phone (847) 741-3355

465 Briargate Dr
South Elgin, IL 60177
Phone (847) 697-6300

Organizations & group practices 1

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1508839283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 BOWES RD STE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235501",
            "telephone_number": "847-741-3355",
            "fax_number": "847-741-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 BOWES RD STE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235501",
            "telephone_number": "847-741-3355",
            "fax_number": "847-741-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDO",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.