Active NPI
Garrett Ezell, D.C.
- Chiropractor
- Downers Grove, IL
National Provider Identifier
1588067938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012702
- Practice address
- 7323 Northgate Way Unit 9
Downers Grove, IL 60516-4058 - Phone
- (773) 250-1234
- NPI assigned
- Sep 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012702 | IL | Primary |
Addresses
Primary practice location
7323 Northgate Way Unit 9
Downers Grove, IL 60516-4058
Mailing address
6101 W Warwick Ave
Chicago, IL 60634-2557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038012702 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garrett Ezell DC PC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Downers Grove, IL
- NPI 1154816775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1588067938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 W WARWICK AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7323 NORTHGATE WAY UNIT 9",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605164058",
"telephone_number": "773-250-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZELL",
"first_name": "GARRETT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-30",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.