John Edward Buntrock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

1 Bittersweet CT
Woodridge, IL 60517-1736

Phone

(630) 661-0467

Fax

(630) 852-2306

NPI assigned

Aug 31, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669583571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BITTERSWEET CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171736",
            "telephone_number": "630-661-0467",
            "fax_number": "630-852-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BITTERSWEET CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171736",
            "telephone_number": "630-661-0467",
            "fax_number": "630-852-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTROCK",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia S Bruce, MD
• Tina M. Brueschke, M.D.
• Monica Michelle Bullock, LCPC
• Bunco P.C.
• Emily Bunescu, LSW
• Robin Burek
• Melissa Butzine, PT, DPT, CMPT
• Jessica Cacioppo, MOT, OTR/L
• Rachel Calkins, M.A.
• Lloyd Callaway Jr., M.D.

• All providers in Woodridge, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.