Individual provider Active NPI

Gabriela Ludeman

  • Rehabilitation Chiropractor
  • Schaumburg, IL
National Provider Identifier
1689052060
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
12941 Issued in TX
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

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190109001201 IL Practitioner - Chiropractic 2365788577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Quill Family ChiropracticGroup PAC ID 6103168505, 4 clinicians

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

LicenseStateTypeSpecialty
12941TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Quill Family Chiropractic CurrentSince Nov 9, 2019 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.

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.

Verify at the official NPI Registry.