Individual provider Active NPI

Douglas Krefman, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1609243310
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012867 Issued in IL
Practice address
922 W Diversey Pkwy
Chicago, IL 60614-1416
Phone
(773) 529-0057
NPI assigned
Aug 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012867 IL Primary

Addresses

Primary practice location

922 W Diversey Pkwy
Chicago, IL 60614-1416

Mailing address

922 W Diversey Pkwy
Chicago, IL 60614-1416
Phone (773) 529-0057

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929003301 IL Practitioner - Chiropractic 2668780362 Reassigns benefits to 2 organizations
Practice locations: Glenview, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krefman Chiropractic and Rehabilitation LLCGroup PAC ID 7618364860, 2 clinicians
Chicago Spine and Sports, P.C.Group PAC ID 1759578735, 2 clinicians

Practice addresses (Care Compare)

2551 Compass Rd
Suite 110
Glenview, IL 60026-8042
Phone (224) 628-9732

922 W Diversey Pkwy
Chicago, IL 60614-1416
Phone (773) 529-0057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Krefman Chiropractic and Rehabilitation, LLC Chiropractor CurrentSince Mar 28, 2022 Accepting new patients
Chicago Spine and Sports, P.C. CurrentSince Sep 1, 2015 Accepting new patients
Chicago Family Chiropractic Care PastSince Sep 1, 2015 Accepting new patients

Locations

922 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 529-0057

2551 Compass Rd
Ste 110
Glenview, IL 60026
Phone (224) 329-0097

Organizations & group practices 3

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": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1609243310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 W DIVERSEY PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141416",
            "telephone_number": "773-529-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 W DIVERSEY PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141416",
            "telephone_number": "773-529-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREFMAN",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012867",
            "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 Aug 28, 2015; 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.