Individual provider Active NPI

Jonathan Delvicario, DC

  • Chiropractor
  • Palatine, IL
National Provider Identifier
1528567559
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013167 Issued in IL
Practice address
1400 W Northwest Hwy
Palatine, IL 60067-1837
Phone
(847) 496-4567
NPI assigned
Feb 5, 2018
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 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 038.013167 IL Primary

Addresses

Primary practice location

1400 W Northwest Hwy
Palatine, IL 60067-1837

Mailing address

1400 W Northwest Hwy
Palatine, IL 60067-1837
Phone (847) 496-4567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180309002371 IL Practitioner - Chiropractic 8729349683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palatine Chiropractic PLLCGroup PAC ID 7113384496, 3 clinicians
Precise Chiropractic CenterGroup PAC ID 9133138951, 3 clinicians

Practice addresses (Care Compare)

1400 W Northwest Hwy
Palatine, IL 60067-1837
Phone (847) 496-4567

4581 Princeton LN
Suite 119
Lake in the Hills, IL 60156-6769
Phone (847) 669-6888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013167ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Precise Chiropractic Center Chiropractor CurrentSince Mar 10, 2020 Accepting new patients
Evolve Chiropractic Palatine PLLC Chiropractor CurrentSince Feb 10, 2019 Accepting new patients

Locations

4581 Princeton Ln
Lk in the Hls, IL 60156

4581 Princeton Ln
Ste 119
Lk in the Hls, IL 60156
Phone (847) 669-6888

17 W Wilson St
Palatine, IL 60067
Phone (847) 496-4438

Organizations & group practices 3

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": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1528567559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671837",
            "telephone_number": "847-496-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671837",
            "telephone_number": "847-496-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVICARIO",
        "first_name": "JONATHAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-05",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.