Individual provider Active NPI

Coriann Bauer, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1669413647
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010406 Issued in IL
Practice address
8600 W Bryn Mawr Ave Ste 100N
Chicago, IL 60631-3544
Phone
(773) 930-4031
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010406 IL Primary

Addresses

Primary practice location

8600 W Bryn Mawr Ave Ste 100N
Chicago, IL 60631-3544

Mailing address

1526 Monterey Dr
Glenview, IL 60026-7741
Phone (630) 881-9106

Other identifiers 2

IdentifierTypeStateIssuer
K36008OtherILMEDICARE #
1635132OtherILBLUE CROSS ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070402000200 IL Practitioner - Chiropractic 4789788704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Chiropractic Cumberland PLLCGroup PAC ID 2062892813, 5 clinicians

Practice addresses (Care Compare)

8600 W Bryn Mawr Ave
Suite 100N
Chicago, IL 60631-3544
Phone (847) 802-4824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038010406ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Chiropractic Cumberland PLLC Chiropractor CurrentSince Aug 25, 2025 Accepting new patients
Chiro One Wellness Center of Evanston SC Chiropractor CurrentSince Jan 1, 2007 Accepting new patients

Locations

8600 W Bryn Mawr Ave
Ste 100N
Chicago, IL 60631
Phone (773) 930-4031

1954 Dempster St
Evanston, IL 60202
Phone (847) 440-5056

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669413647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 MONTEREY DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267741",
            "telephone_number": "630-881-9106"
        },
        {
            "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": "773-930-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "CORIANN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "K36008",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID #",
            "identifier": "1635132",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.