Organization Active NPI

Quality Care Chiropractic Clinic

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1629107198
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
042618119 Issued in IL
Legal business name
QUALITY CARE CHIROPRACTIC CLINIC
Practice address
2460 S Eola Rd
Suite G
Aurora, IL 60503-6494
Phone
(630) 499-2225
Fax
(630) 499-2224
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Dr. Rick Gross, D.CNPI 1689656316
Title
Owner
Phone
(630) 499-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 042618119 IL Primary

Addresses

Primary practice location

2460 S Eola Rd
Suite G
Aurora, IL 60503-6494

Mailing address

2460 S Eola Rd
Suite G
Aurora, IL 60503-6494
Phone (630) 499-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000132 IL Part B Supplier - Clinic/Group Practice 2466340476 Receives reassigned benefits from 2 practitioners
Practice locations: Aurora, IL

National Provider Directory

National Provider Directory

Locations

2460 S Eola Rd
Ste G
Aurora, IL 60503
Phone (630) 499-2225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1629107198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 S EOLA RD",
            "address_2": "SUITE G",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036494",
            "telephone_number": "630-499-2225",
            "fax_number": "630-499-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 S EOLA RD",
            "address_2": "SUITE G",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036494",
            "telephone_number": "630-499-2225",
            "fax_number": "630-499-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-499-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042618119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.