Organization Active NPI

Dr. Craig S. Bernacki, LTD

  • Chiropractor
  • Schaumburg, IL
National Provider Identifier
1588652622
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. CRAIG S. BERNACKI, LTD
Practice address
714 E Higgins Rd
Schaumburg, IL 60173-4701
Phone
(847) 519-1090
Fax
(847) 519-0599
NPI assigned
Oct 12, 2005
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. Craig S. Bernacki, D.C.NPI 1427237999
Title
Owner
Phone
(847) 519-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

714 E Higgins Rd
Schaumburg, IL 60173-4701

Mailing address

714 E Higgins Rd
Schaumburg, IL 60173-4701
Phone (847) 519-1090

Other identifiers 1

IdentifierTypeStateIssuer
21609942OtherILBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071221000312 IL Part B Supplier - Clinic/Group Practice 2668562026 Receives reassigned benefits from 1 practitioner
Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

1251 N Plum Grove Rd
Ste 100
Schaumburg, IL 60173
Phone (469) 995-0093

714 E Higgins Rd
Schaumburg, IL 60173
Phone (847) 519-1090

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1588652622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 E HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734701",
            "telephone_number": "847-519-1090",
            "fax_number": "847-519-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 E HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734701",
            "telephone_number": "847-519-1090",
            "fax_number": "847-519-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CRAIG S. BERNACKI, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "BERNACKI",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-519-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "21609942",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.