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

Last updated

Nov 6, 2021By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Schram Chiropractic LTD

  dba Schram Chiropractic

  • 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": [],
    "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
• Jacob Tage Pearson, MS, LCPC
• Nicolas Pedraza, P.T.
• Christine Marie Pelikan

• 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.