Individual provider Active NPI

Mark Schelfhout, D.C.

  • Chiropractor
  • Arlington Heights, IL
National Provider Identifier
1710069307
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007537 Issued in IL
Practice address
3455 W Salt Creek LN
Suite #500
Arlington Heights, IL 60005-1090
Phone
(847) 577-8061
Fax
(847) 577-8358
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007537 IL Primary

Addresses

Primary practice location

3455 W Salt Creek LN
Suite #500
Arlington Heights, IL 60005-1090

Mailing address

3455 W Salt Creek LN
Suite #500
Arlington Heights, IL 60005-1090
Phone (847) 577-8061

Other identifiers 1

IdentifierTypeStateIssuer
1627852OtherILBLUECROSS/BLUESHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071212000175 IL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 8325138548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2168 Plum Grove Rd
Rolling Meadows, IL 60008-1932
Phone (847) 577-8061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007537ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schelfhout Chiropractic Clinic LTD Chiropractor CurrentSince Jun 12, 2001 Accepting new patients

Locations

3455 W Salt Creek Ln
Ste 500
Arlington Heights, IL 60005
Phone (847) 577-8061

2168 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 577-8061

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1710069307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 W SALT CREEK LN",
            "address_2": "SUITE #500",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051090",
            "telephone_number": "847-577-8061",
            "fax_number": "847-577-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 W SALT CREEK LN",
            "address_2": "SUITE #500",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051090",
            "telephone_number": "847-577-8061",
            "fax_number": "847-577-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELFHOUT",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHEILD",
            "identifier": "1627852",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.