Jeffrey Michael Moore, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-004398 Issued in IL

Practice address

333 Commerce Dr Ste 175
Crystal Lake, IL 60014-3596

Phone

(815) 245-4624

NPI assigned

Aug 19, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Strelcheck Chiropractic Clinic LTD

  • Chiropractor
  • Crystal Lake, IL
  • NPI 1881791945
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538273909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE DR STE 175",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143596",
            "telephone_number": "815-245-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COMMERCE DR STE 175",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143596",
            "telephone_number": "815-245-4624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9224 Trinity Dr",
            "address_purpose": "LOCATION",
            "city": "Lake IN The Hills",
            "state": "IL",
            "postal_code": "601561664",
            "country_code": "US",
            "telephone_number": "847-854-4722",
            "fax_number": "847-458-5953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE TO PRACTICE CHIR",
            "identifier": "038-004398",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05632146",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara M Monica
• Kristin Leona Monical, OTD
• Sandra Terese Montalvo, LCPC
• Mooney Group
• Isaiah Di'Jon Moore
• Frank Morales, CRADC
• Sebastian Morales, LSW
• Jennifer Ann Morano
• Betrinna Eve Morici
• Lori A Most, LSW

• Chiropractor in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.