Individual provider Active NPI

Emmanuel Acheampong Kamara, D.C.

  • Chiropractor
  • Des Plaines, IL
National Provider Identifier
1518420173
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013345 Issued in IL
Practice address
1645 S River Rd Ste 19
Des Plaines, IL 60018-2206
Phone
(847) 296-2322
Fax
(847) 803-1943
NPI assigned
Apr 10, 2019
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013345 IL Primary

Addresses

Primary practice location

1645 S River Rd Ste 19
Des Plaines, IL 60018-2206

Mailing address

1645 S River Rd Ste 19
Des Plaines, IL 60018-2206
Phone (847) 296-2322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038013345ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eastland Lifestyle Center Chiropractor PastSince Feb 1, 2017 Accepting new patients

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, 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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1518420173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 S RIVER RD STE 19",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182206",
            "telephone_number": "847-296-2322",
            "fax_number": "847-803-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 S RIVER RD STE 19",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182206",
            "telephone_number": "847-296-2322",
            "fax_number": "847-803-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "EMMANUEL",
        "middle_name": "ACHEAMPONG",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.