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
- 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.
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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.