Shawn J Ebaugh, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010359 Issued in IL

Practice address

1001 75TH St Ste 105
Woodridge, IL 60517-2608

Phone

(630) 395-7226

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National University of Arts and Sciences, Medical Department, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ebaugh Chiro LLC

  • Chiropractor
  • Woodridge, IL
  • NPI 1700634904
  Medicare reassignment NPD Authorized official
• Center for Intergrative Health, SC

  • Chiropractor
  • Glenview, IL
  • NPI 1982920815
  NPD (past)
• Illinois Multi-Med SC

  • Specialist
  • Glenview, IL
  • NPI 1851465587

  Chiropractor

  NPD (past)
• Pinnacle Chiropractic and Rehab Center of Schaumburg, LLC

  • Chiropractor
  • Schaumburg, IL
  • NPI 1538101308
  NPD (past)
• Total Body Health and Wellness, SC

  • Chiropractor
  • Schaumburg, IL
  • NPI 1174089270
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1669415428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 75TH ST STE 105",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172608",
            "telephone_number": "630-395-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 75TH ST STE 105",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172608",
            "telephone_number": "630-395-7226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 N Peoria St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606072609",
            "country_code": "US",
            "telephone_number": "312-346-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9121 159th St",
            "address_2": "Unit J-K",
            "address_purpose": "LOCATION",
            "city": "Orland Hills",
            "state": "IL",
            "postal_code": "604875901",
            "country_code": "US",
            "telephone_number": "708-675-1400",
            "fax_number": "708-675-1405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9121 159th St",
            "address_2": "Unit J-K",
            "address_purpose": "LOCATION",
            "city": "Orland Hills",
            "state": "IL",
            "postal_code": "604875901",
            "country_code": "US",
            "telephone_number": "708-675-1400",
            "fax_number": "708-675-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBAUGH",
        "first_name": "SHAWN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010359",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Durkin
• Katherine Dziedzic, ATC
• Hannah Dziura, PT, DPT
• Vashae' Rakim Easley
• Ebaugh Chiro LLC
• Edward Health Ventures
• Edward Health Ventures
• Rachel Mathew Eipe, PHARMD
• Elite Diagnostics Laboratories LLC
• Ellen H. Dace, DMD, PLLC

• Chiropractor in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.