Individual provider Active NPI

Xiuzhen Li, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1699319996
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013130 Issued in IL
Practice address
222 W 26TH St Ste a
Chicago, IL 60616-4099
Phone
(312) 763-6192
Fax
(312) 277-3533
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013130 IL Primary

Addresses

Primary practice location

222 W 26TH St Ste a
Chicago, IL 60616-4099

Mailing address

222 W 26TH St Ste a
Chicago, IL 60616-4099
Phone (312) 763-6192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200203002448 IL Practitioner - Chiropractic 4587090980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 W 26TH St
Suite a
Chicago, IL 60616-4099
Phone (312) 763-6192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038013130ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Uptown LLC Current Accepting new patients
Evergreen Health & Wellness Inc. CurrentSince Mar 1, 2020 Accepting new patients
Evergreen Evanston LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

3201 S Wallace St
Chicago, IL 60616
Phone (312) 326-1615

1147 W Balmoral Ave
Ste C
Chicago, IL 60640

222 W 26th St
Ste A
Chicago, IL 60616
Phone (312) 763-6192

1521 Sherman Ave
Evanston, IL 60201
Phone (224) 714-2170

3033 Ogden Ave
Ste 200
Lisle, IL 60532
Phone (630) 946-6697

Organizations & group practices 3

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1699319996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W 26TH ST STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164099",
            "telephone_number": "312-763-6192",
            "fax_number": "312-277-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 26TH ST STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164099",
            "telephone_number": "312-763-6192",
            "fax_number": "312-277-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "XIUZHEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.