Fred J Palmer, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

038-003831 Issued in IL

Practice address

6712 N Monticello Ave
Lincolnwood, IL 60712-3716

Phone

(847) 673-8396

NPI assigned

Nov 20, 2006

Last updated

Jul 9, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1568536944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 N MONTICELLO AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123716",
            "telephone_number": "847-673-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 N MONTICELLO AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123716",
            "telephone_number": "847-673-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "FRED",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038-003831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Specialists of the North Shore, LLC
• Orthopaedic Specialists of the Northshore, LLC
• Jesus Ivan Pacheco-Sierra
• Audrey Paik
• DO J Pak, O.D.
• Jennifer Ruth Pantelios
• Jianna Papazafeiropoulos
• Yogesh Parikh, MD
• Susana Parraguirre
• Goral Patel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.