Active NPI
Gregory A Wojciechowski, DC DA BCO
- Orthopedic Chiropractor
- Stillman Valley, IL
National Provider Identifier
1518933654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 038-003665
- Practice address
- 7668 N Rothwell Rd
Stillman Valley, IL 61084 - Phone
- (815) 645-2644
- Fax
- (815) 645-2644
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 038-003665 | IL | Primary |
Addresses
Primary practice location
7668 N Rothwell Rd
Stillman Valley, IL 61084
Mailing address
7668 N Rothwell Rd
Stillman Valley, IL 61084
Phone (815) 645-2644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 769853 | Other | IL | BOILERMAKER |
| 0007182008 | Other | IL | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-003665 | IL | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1518933654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7668 N ROTHWELL RD",
"city": "STILLMAN VALLEY",
"state": "IL",
"postal_code": "61084",
"telephone_number": "815-645-2644",
"fax_number": "815-645-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7668 N ROTHWELL RD",
"city": "STILLMAN VALLEY",
"state": "IL",
"postal_code": "61084",
"telephone_number": "815-645-2644",
"fax_number": "815-645-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJCIECHOWSKI",
"first_name": "GREGORY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DC DA BCO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "IL",
"license": "038-003665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOILERMAKER",
"identifier": "769853",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0007182008",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stillman Valley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.