Individual provider Active NPI

Ryan Milton Bengtson, DC

  • Chiropractor
  • Schaumburg, IL
National Provider Identifier
1619560745
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013688 Issued in IL
Practice address
999 N Plaza Dr Ste 115
Schaumburg, IL 60173-5403
Phone
(847) 706-9600
Fax
(847) 760-9610
NPI assigned
Feb 19, 2021
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013688 IL Primary

Addresses

Primary practice location

999 N Plaza Dr Ste 115
Schaumburg, IL 60173-5403

Mailing address

1160 Liberty Ave
Cary, IL 60013-1677
Phone (815) 382-6212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220217001482 IL Practitioner - Chiropractic 0941693816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve North I PLLCGroup PAC ID 8325438716, 3 clinicians

Practice addresses (Care Compare)

755 S Milwaukee Ave
Suite 127
Libertyville, IL 60048-3267
Phone (847) 648-4931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013688ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Chiropractic Woodstock PLLC Chiropractor CurrentSince Feb 24, 2025 Accepting new patients
Total Athleticare 1, LLC Chiropractor CurrentSince Jan 1, 2022 Accepting new patients
Evolve North I PLLC Chiropractor CurrentSince Oct 27, 2025 Accepting new patients
Total Athleticare SC Chiropractor CurrentSince Feb 21, 2021 Accepting new patients

Locations

10705 Ruth Rd
Huntley, IL 60142
Phone (847) 277-2990

755 S Milwaukee Ave
Ste 127
Libertyville, IL 60048
Phone (847) 648-4931

999 N Plaza Dr
Ste 115
Schaumburg, IL 60173
Phone (847) 706-9600

2440 Lake Shore Dr
Woodstock, IL 60098
Phone (815) 338-9150

Organizations & group practices 4

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1619560745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 LIBERTY AVE",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131677",
            "telephone_number": "815-382-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N PLAZA DR STE 115",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735403",
            "telephone_number": "847-706-9600",
            "fax_number": "847-760-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGTSON",
        "first_name": "RYAN",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013688",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 7, 2022; 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.