Active NPI
Jennifer Jane Cacanindin, D.C.
- Chiropractor
- Wilmette, IL
National Provider Identifier
1619007796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 901 Ridge Rd
Wilmette, IL 60091-1559 - Phone
- (847) 251-6766
- Fax
- (847) 256-9874
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
901 Ridge Rd
Wilmette, IL 60091-1559
Mailing address
901 Ridge Rd
Wilmette, IL 60091-1559
Phone (847) 251-6766
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-008689 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgewellness Center | 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.
-
- Clinic/Center
- Wilmette, IL
- NPI 1447372248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619007796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 RIDGE RD",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911559",
"telephone_number": "847-251-6766",
"fax_number": "847-256-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 RIDGE RD",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911559",
"telephone_number": "847-251-6766",
"fax_number": "847-256-9874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACANINDIN",
"first_name": "JENNIFER",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.