Active NPI
Galin Dean Schram, D.C.
- Chiropractor
- Freeport, IL
National Provider Identifier
1679682371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038004173
- Practice address
- 1009 Loras Dr
Freeport, IL 61032-6923 - Phone
- (815) 233-1800
- Fax
- (815) 235-7749
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038004173 | IL | Primary |
Addresses
Primary practice location
1009 Loras Dr
Freeport, IL 61032-6923
Mailing address
1009 Loras Dr
Freeport, IL 61032-6923
Phone (815) 233-1800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038004173 | Medicaid | IL | |
| 350028521 | Other | IL | PALMETTO GBA RAILROAD MEDICARE |
| 10121871 | Other | IL | BLUE CROSS BLUE SHIELD OF ILLINOIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1679682371",
"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": "815-233-1800",
"fax_number": "815-235-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 LORAS DR",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610326923",
"telephone_number": "815-233-1800",
"fax_number": "815-235-7749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRAM",
"first_name": "GALIN",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038004173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038004173",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD MEDICARE",
"identifier": "350028521",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
"identifier": "10121871",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.