Ebaugh Chiro LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EBAUGH CHIRO LLC

Practice address

1001 75TH St Ste 105
Woodridge, IL 60517-2608

Phone

(630) 395-7226

NPI assigned

May 11, 2024

Organization subpart

No

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

Authorized official

Name

Shawn Ebaugh, DCNPI 1669415428

Title

Clinic Director

Phone

(630) 308-0050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn J Ebaugh, D.C.

  • Chiropractor
  • Woodridge, IL
  • NPI 1669415428
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1700634904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 CRESTVIEW DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394324",
            "telephone_number": "630-308-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 75TH ST STE 105",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172608",
            "telephone_number": "630-395-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBAUGH CHIRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "EBAUGH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "630-308-0050",
        "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": []
}

• Dupage Surgicare, P.C.
• Lindsay Durkin
• Katherine Dziedzic, ATC
• Hannah Dziura, PT, DPT
• Vashae' Rakim Easley
• Shawn J Ebaugh, D.C.
• Edward Health Ventures
• Edward Health Ventures
• Rachel Mathew Eipe, PHARMD
• Elite Diagnostics Laboratories LLC (Elite Diagnostics labs LLC)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.