NPIMap

Organization Active NPI

Schram Chiropractic LTD

  • Chiropractor
  • Freeport, IL
National Provider Identifier
1558033209
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SCHRAM CHIROPRACTIC LTD
Practice address
1009 Loras Dr
Freeport, IL 61032-6923
Phone
(815) 233-1800
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Dr. G Charles Schram, D.C.
Title
President
Phone
(815) 275-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1009 Loras Dr
Freeport, IL 61032-6923

Mailing address

1009 Loras Dr
Freeport, IL 61032-6923
Phone (815) 233-1800

Other practice location 1

303 E Hillcrest Dr
Dekalb, IL 60115-2476
Phone (815) 756-8691

Other names 1

  • Schram Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211220002356 IL Part B Supplier - Clinic/Group Practice 1850782210 Receives reassigned benefits from 2 practitioners
Practice locations: Dekalb, IL; Freeport, IL

National Provider Directory

National Provider Directory

Locations

303 E Hillcrest Dr
DeKalb, IL 60115
Phone (815) 756-8691

303 E Hillcrest Dr
Ste 1
DeKalb, IL 60115
Phone (815) 756-8691

1009 Loras Dr
Freeport, IL 61032
Phone (815) 233-1800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1558033209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 LORAS DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326923",
            "telephone_number": "815-233-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 LORAS DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326923",
            "telephone_number": "815-233-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 E Hillcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601152476",
            "country_code": "US",
            "telephone_number": "815-756-8691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCHRAM CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "SCHRAM",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-275-7787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schram Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.