NPIMap

Organization Active NPI

TCP of Naperville LLC

Doing business as The Chiropractic Place

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1639410491
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TCP OF NAPERVILLE LLC
Doing business as
The Chiropractic Place
Practice address
1935 95TH St
115
Naperville, IL 60564-9684
Phone
(630) 781-9511
Fax
(630) 718-9869
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Andrew Czarniewski, DCNPI 1013011493
Title
Managing Member
Phone
(630) 781-9511

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 Primary

Addresses

Primary practice location

1935 95TH St
115
Naperville, IL 60564-9684

Mailing address

1935 95TH St
115
Naperville, IL 60564-9684
Phone (630) 781-9511

Other names 1

  • The Chiropractic Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130605000114 IL Part B Supplier - Clinic/Group Practice 0042458929 Receives reassigned benefits from 3 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

1935 95th St
Unit 115
Naperville, IL 60564
Phone (630) 718-0848

Practitioners & affiliated clinicians

Practitioners 3

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": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1639410491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 95TH ST",
            "address_2": "115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649684",
            "telephone_number": "630-781-9511",
            "fax_number": "630-718-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 95TH ST",
            "address_2": "115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649684",
            "telephone_number": "630-781-9511",
            "fax_number": "630-718-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCP OF NAPERVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "CZARNIEWSKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "630-781-9511",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "The Chiropractic Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.