Individual provider Active NPI

Peter Slavin, DC

  • Chiropractor
  • Niles, IL
National Provider Identifier
1659395994
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009528 Issued in IL
Practice address
8269 W Golf Rd
Niles, IL 60714-1156
Phone
(847) 299-7000
Fax
(847) 299-7007
NPI assigned
Jul 27, 2006
Last updated
Apr 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009528 IL Primary

Addresses

Primary practice location

8269 W Golf Rd
Niles, IL 60714-1156

Mailing address

8269 W Golf Rd
Niles, IL 60714-1156
Phone (847) 299-7000

Other identifiers 4

IdentifierTypeStateIssuer
01632135OtherILBCBS#
K16049OtherILMEDICARE PIN#
038-009528OtherILLICENSE #
364482046-60714-01MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000663 IL Practitioner - Chiropractic 6002876208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Rehabilitation Clinic, SCGroup PAC ID 3476513672, 7 clinicians

Practice addresses (Care Compare)

8269 W Golf Rd
Niles, IL 60714-1156

8565 W Dempster St
Niles, IL 60714-1472
Phone (847) 299-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009528ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Global Rehabilitation Clinic, SC Chiropractor CurrentSince Feb 11, 2002 Accepting new patients

Locations

8269 W Golf Rd
Niles, IL 60714
Phone (847) 299-7000

8565 W Dempster St
Niles, IL 60714
Phone (847) 299-7000

8933 W Golf Rd
Niles, IL 60714
Phone (847) 258-5420

Organizations & group practices 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1659395994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141156",
            "telephone_number": "847-299-7000",
            "fax_number": "847-299-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8269 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141156",
            "telephone_number": "847-299-7000",
            "fax_number": "847-299-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVIN",
        "first_name": "PETER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS#",
            "identifier": "01632135",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN#",
            "identifier": "K16049",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "038-009528",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364482046-60714-01",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.