Active NPI
Evolve Chiropractic Cumberland PLLC
- Chiropractor
- Chicago, IL
National Provider Identifier
1629713698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- EVOLVE CHIROPRACTIC CUMBERLAND PLLC
- Practice address
- 8600 W Bryn Mawr Ave Ste 100N
Chicago, IL 60631-3544 - Phone
- (847) 802-4824
- NPI assigned
- May 3, 2022
- Last updated
- Aug 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Cruse, DC
- Title
- Owner
- Phone
- (224) 250-3526
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
8600 W Bryn Mawr Ave Ste 100N
Chicago, IL 60631-3544
Mailing address
10705 Ruth Rd
Huntley, IL 60142-7156
Phone (847) 802-4824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8600 W Bryn Mawr Ave
Ste 100N
Chicago, IL 60631
Phone (773) 930-4031
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1629713698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10705 RUTH RD",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601427156",
"telephone_number": "847-802-4824"
},
{
"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": "847-802-4824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE CHIROPRACTIC CUMBERLAND PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-03",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "CRUSE",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "224-250-3526",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Evohome Medical Corporation (EvoHome Medical Group)
- Evola Pediatric Therapy
- Angela Evola Evola, MS OTR/L
- Jennifer Ann Evola, LMT, RD, LDN
- Evolve and Transcend Wellness Center
- Evolve Counseling & Consults Corporation
- Evolve Counseling & Wellness
- Evolve Counseling Centers LLC
- Evolve Fitness Chicago III LLC
- Evolve Healthcare, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.