1St Choice Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

1ST CHOICE CHIROPRACTIC LLC

Practice address

115 W Maple Ave
Libertyville, IL 60048-2119

Phone

(315) 416-8111

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Krishnakumar, DCNPI 1134451669

Title

Chiropractor

Phone

(315) 416-8111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Jessica Lynn Krishnakumar, D.C.

  • Chiropractor
  • Libertyville, IL
  • NPI 1134451669
  Medicare reassignment Care Compare group NPD Authorized official
• Katie Niebur, ND, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1104448547
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1699314468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S STEWART AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482768",
            "telephone_number": "315-416-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAPLE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482119",
            "telephone_number": "315-416-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CHOICE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "KRISHNAKUMAR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "315-416-8111",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.