Individual provider Active NPI

Brian Duff, D.C.

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1619246345
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-011462 Issued in IL
Practice address
16310 S Lincoln Hwy
Plainfield, IL 60586-9006
Phone
(815) 782-8440
NPI assigned
Dec 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-011462 IL Primary

Addresses

Primary practice location

16310 S Lincoln Hwy
Plainfield, IL 60586-9006

Mailing address

16310 S Lincoln Hwy
Plainfield, IL 60586-9006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121009000575 IL Practitioner - Chiropractic 3173772035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

849 S Ridge Rd
Minooka, IL 60447-8807
Phone (815) 467-5223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-011462ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Chiropractic Place LLC Chiropractor CurrentSince Oct 20, 2012 Accepting new patients

Locations

849 S Ridge Rd
Minooka, IL 60447
Phone (630) 781-9511

1935 95th St
Unit 115
Naperville, IL 60564
Phone (630) 718-0848

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.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1619246345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16310 S LINCOLN HWY",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605869006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16310 S LINCOLN HWY",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605869006",
            "telephone_number": "815-782-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "BRIAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-011462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.