Individual provider Active NPI

Steven Ralph Eickenberg, DC

  • Chiropractor
  • Rosemont, IL
National Provider Identifier
1508975277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009176 Issued in IL
Practice address
10225 West Higgins Road
Rosemont, IL 60018
Phone
(847) 825-2278
Fax
(847) 825-2279
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
National College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic and Strength Training Inc (3 clinicians)

Practice addresses (Care Compare)

10225 W Higgins Rd
Rosemont, IL 60018-3890
Phone (847) 825-2278

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040915000775 IL Practitioner - Chiropractic 9739156001 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
038009176ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic and Strength Training, Inc. Chiropractor Current
since Sep 26, 2005
Accepting new patients
First Health Assocates, SC Chiropractor Past
since Nov 13, 2000
Accepting new patients

Locations

10225 W Higgins Rd
Rosemont, IL 60018
Phone (847) 318-9474

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009176 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

10225 West Higgins Road
Rosemont, IL 60018

Mailing address

10225 West Higgins Road
Rosemont, IL 60018
Phone (847) 825-2278

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508975277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 WEST HIGGINS ROAD",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "60018",
            "telephone_number": "847-825-2278",
            "fax_number": "847-825-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 WEST HIGGINS ROAD",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "60018",
            "telephone_number": "847-825-2278",
            "fax_number": "847-825-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKENBERG",
        "first_name": "STEVEN",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.