Gerard Joseph Cicero, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

038004975 Issued in IL

Practice address

5636 W Fullerton Ave Ste B
Chicago, IL 60639-2352

Phone

(773) 237-8660

Fax

(773) 237-3159

NPI assigned

Nov 28, 2006

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chicago Neck & Back Institute LTD. PC

  • Chiropractor
  • Chicago, IL
  • NPI 1083820559
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1528134970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 W FULLERTON AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392352",
            "telephone_number": "773-237-8660",
            "fax_number": "773-237-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5636 W FULLERTON AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392352",
            "telephone_number": "773-237-8660",
            "fax_number": "773-237-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICERO",
        "first_name": "GERARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X003537-1",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038004975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE R.R.",
            "identifier": "350052261",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1618615",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.H.C.",
            "identifier": "619433",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA",
            "identifier": "0593824",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciara Trans Inc.
• Kasia Ciaston, R.D.
• Nicole Cibuzar, OTR/L
• Sam Michael Ciccarelli, D.D.S.
• Colleen Cicchetti, PH.D.
• Thomas Cicero, LCSW
• Kristin Elizabeth Cichowski, CCC-SLP/L
• Teri Cicurel
• Cielo Belingon Suerte MD SC
• Eileen Cielo

• Orthopedic Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopedic Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.