Individual provider Active NPI

Bruce Vanderschaaf, D.C.

  • Orthopedic Chiropractor
  • Oswego, IL
National Provider Identifier
1598846305
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
038005174 Issued in IL
Practice address
1144 Douglas Rd
Oswego, IL 60543-9040
Phone
(630) 554-9323
Fax
(630) 554-9328
NPI assigned
Oct 18, 2006
Last updated
Sep 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 038005174 IL Primary

Addresses

Primary practice location

1144 Douglas Rd
Oswego, IL 60543-9040

Mailing address

1144 Douglas Rd
Oswego, IL 60543-9040
Phone (630) 554-9323

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

LicenseStateTypeSpecialty
038005174ILMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Healthcare & Physical Medicine Inc PastSince May 1, 2014 Accepting new patients
Oswego Family Chiropractic Center, P.C. PastSince Sep 13, 2004 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1598846305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439040",
            "telephone_number": "630-554-9323",
            "fax_number": "630-554-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439040",
            "telephone_number": "630-554-9323",
            "fax_number": "630-554-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSCHAAF",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038005174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.