Organization Active NPI

Daniel J. Sweeney DC, LTD.

  • Chiropractor
  • Crestwood, IL
National Provider Identifier
1669666590
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DANIEL J. SWEENEY DC, LTD.
Practice address
13807 Cicero Ave
Crestwood, IL 60445-1826
Phone
(708) 385-5888
Fax
(708) 385-5925
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Daniel J Sweeney, DCNPI 1073680047
Title
Owner
Phone
(708) 385-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

13807 Cicero Ave
Crestwood, IL 60445-1826

Mailing address

13807 Cicero Ave
Crestwood, IL 60445-1826
Phone (708) 385-5888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090218000162 IL Part B Supplier - Clinic/Group Practice 5496810822 Receives reassigned benefits from 1 practitioner
Practice locations: Tinley Park, IL

National Provider Directory

National Provider Directory

Locations

14125 Cicero Ave
Crestwood, IL 60418
Phone (708) 385-5888

13807 Cicero Ave
Crestwood, IL 60418
Phone (708) 385-5888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1669666590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13807 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451826",
            "telephone_number": "708-385-5888",
            "fax_number": "708-385-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13807 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451826",
            "telephone_number": "708-385-5888",
            "fax_number": "708-385-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. SWEENEY DC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-385-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.