Active NPI
Gabriela Ludeman
- Rehabilitation Chiropractor
- Schaumburg, IL
National Provider Identifier
1689052060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 12941
- Practice address
- 107 Remington Rd Ste 107
Schaumburg, IL 60173-3220 - Phone
- (815) 520-7330
- NPI assigned
- May 18, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 12941 | TX | Primary |
Addresses
Primary practice location
107 Remington Rd Ste 107
Schaumburg, IL 60173-3220
Mailing address
107 Remington Rd Ste 107
Schaumburg, IL 60173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
550 E Boughton Rd
Suite 230
Bolingbrook, IL 60440-2402
Phone (630) 739-1791
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12941 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quill Family Chiropractic | Current | Accepting new patients |
Locations
550 E Boughton Rd
Ste 230
Bolingbrook, IL 60440
Phone (630) 739-1791
Organizations & group practices 1
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.
-
- Chiropractor
- Bolingbrook, IL
- NPI 1205394970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1689052060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 REMINGTON RD STE 107",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "60173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 REMINGTON RD STE 107",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601733220",
"telephone_number": "815-520-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDEMAN",
"first_name": "GABRIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-18",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "12941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.