Active NPI
Thomas R Norberg, D.C.
- Chiropractor
- Mokena, IL
National Provider Identifier
1699896134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-004765
- Practice address
- 19135 La Grange Rd
Mokena, IL 60448-9346 - Phone
- (708) 479-3456
- Fax
- (708) 479-4021
- NPI assigned
- Apr 3, 2007
- 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 | 038-004765 | IL | Primary |
Addresses
Primary practice location
19135 La Grange Rd
Mokena, IL 60448-9346
Mailing address
14 Wildwood Dr
New Lenox, IL 60451-1664
Phone (815) 485-0990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120310000052 | IL | Practitioner - Chiropractic | 3870752843 | Practice locations: Mokena, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19135 La Grange Rd
Mokena, IL 60448-9346
Phone (708) 479-3456
19135 S la Grange Rd
Mokena, IL 60448-9346
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-004765 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699896134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WILDWOOD DR",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604511664",
"telephone_number": "815-485-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19135 LA GRANGE RD",
"city": "MOKENA",
"state": "IL",
"postal_code": "604489346",
"telephone_number": "708-479-3456",
"fax_number": "708-479-4021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORBERG",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-004765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mokena, IL
- Carlos Alberto Natera Garcia, SA-C
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- Adrian Nica, M.D.
- Glen John Nisivoccia, D C
- Juan Noguera, RSA
- Northern Light Counseling & Consultation LLC
- Northwestern Medical Faculty Foundation
- Philomena Bridget Nowak, MS LCPC CRC
- Bridget Ann O'Connor
- Dino Gerald O'Mara, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.