Individual provider Active NPI

Andrew John Hajduk, DC

  • Chiropractor
  • Northbrook, IL
National Provider Identifier
1669500674
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009615 Issued in IL
Practice address
1500 Shermer Rd Ste 1SE
Northbrook, IL 60062-5343
Phone
(224) 817-2273
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009615 IL Primary

Addresses

Primary practice location

1500 Shermer Rd Ste 1SE
Northbrook, IL 60062-5343

Mailing address

1500 Shermer Rd Ste 1SE
Northbrook, IL 60062-5343
Phone (224) 817-2273

Other practice location 1

1410 Waukegan Rd
Suite 180
Glenview, IL 60025-2172
Phone (847) 998-1414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080121000028 IL Practitioner - Chiropractic 9133200843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathway Healthcare Solutions LLCGroup PAC ID 3375072499, 2 clinicians

Practice addresses (Care Compare)

1400 Renaissance Dr
Suite 200
Park Ridge, IL 60068-1335
Phone (224) 817-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009615ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northbrook Chiropractic and Natural Care Center SC CurrentSince Jul 24, 2022 Accepting new patients
Pathway Healthcare Solutions LLC Chiropractor CurrentSince Dec 1, 2024 Accepting new patients
Chiropractic Health Centre of Lake County Chiropractor Past Accepting new patients
Center for Intergrative Health, SC Chiropractor Past Accepting new patients
Illinois Multi-Med SC Chiropractor Past Accepting new patients

Locations

1500 Shermer Rd
Ste 1SE
Northbrook, IL 60062
Phone (224) 415-3707

1400 Renaissance Dr
Ste 200
Park Ridge, IL 60068
Phone (224) 817-2273

Organizations & group practices 5

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669500674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHERMER RD STE 1SE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625343",
            "telephone_number": "224-817-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHERMER RD STE 1SE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625343",
            "telephone_number": "224-817-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 Waukegan Rd",
            "address_2": "Suite 180",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600252172",
            "country_code": "US",
            "telephone_number": "847-998-1414",
            "fax_number": "847-998-0934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAJDUK",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.