Individual provider Active NPI

Shaniece Cathey, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1619677390
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013940 Issued in IL
Practice address
8600 W Bryn Mawr Ave Ste 100N
Chicago, IL 60631-3544
Phone
(773) 930-4031
NPI assigned
Mar 9, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013940 IL Primary

Addresses

Primary practice location

8600 W Bryn Mawr Ave Ste 100N
Chicago, IL 60631-3544

Mailing address

8600 W Bryn Mawr Ave Ste 100N
Chicago, IL 60631-3544
Phone (773) 930-4031

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

LicenseStateTypeSpecialty
038.013940ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Chiropractic Cumberland PLLC Chiropractor CurrentSince Oct 3, 2023 Accepting new patients
Evolve Chiropractic Lake Zurich PLLC Chiropractor CurrentSince Mar 1, 2024 Accepting new patients

Locations

8600 W Bryn Mawr Ave
Ste 100N
Chicago, IL 60631
Phone (773) 930-4031

275 S Rand Rd
Ste A9
Lake Zurich, IL 60047
Phone (224) 662-4732

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1619677390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 W BRYN MAWR AVE STE 100N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313544",
            "telephone_number": "773-930-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W BRYN MAWR AVE STE 100N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313544",
            "telephone_number": "773-930-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATHEY",
        "first_name": "SHANIECE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-09-25",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013940",
            "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 Sep 25, 2023; 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.