Theodore F Paul, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038005055 Issued in IL

Practice address

229 E Hillcrest Dr
Dekalb, IL 60115-2403

Phone

(815) 756-8691

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schram Chiropractic LTDGroup PAC ID 1850782210, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Schram Chiropractic LTD

  • Chiropractor
  • Freeport, IL
  • NPI 1558033209
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1669523692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 LORAS DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326923",
            "telephone_number": "815-756-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E HILLCREST DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152403",
            "telephone_number": "815-756-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "THEODORE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038005055",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kanchi Patell, MD
• Anjali Patil, DPT
• Nimah Patoli, PHARMD
• Christa Patridge
• Talisa Marie Paul, MSW, CADC
• Barbara L Paulson
• Melissa S Payne Wagner, PT
• Nicolas Pedraza, P.T.
• Christine Marie Pelikan
• Frederick D Peltz, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.