Individual provider Active NPI

Kari Elizabeth Schmidt, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1578831558
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011862 Issued in IL
Practice address
1448 N Milwaukee Ave
FL 3
Chicago, IL 60622-9225
Phone
(219) 201-5690
NPI assigned
Dec 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002561A IN
Chiropractor 111N00000X 038.011862 IL Primary

Addresses

Primary practice location

1448 N Milwaukee Ave
FL 3
Chicago, IL 60622-9225

Mailing address

1448 N Milwaukee Ave
FL 3
Chicago, IL 60622-9225
Phone (773) 772-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230811002745 IL Practitioner - Chiropractic 7012379720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11124 Front St
Mokena, IL 60448-1525
Phone (708) 478-9850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011862ILMDChiropractor
08002561AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Downtown Mokena Chiropractor CurrentSince Jun 5, 2023 Accepting new patients

Locations

11124 Front St
Mokena, IL 60448
Phone (708) 349-0040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1578831558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 N MILWAUKEE AVE",
            "address_2": "FL 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229225",
            "telephone_number": "773-772-4000",
            "fax_number": "773-772-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 N MILWAUKEE AVE",
            "address_2": "FL 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229225",
            "telephone_number": "219-201-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KARI",
        "middle_name": "ELIZABETH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002561A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.