Active NPI
Richard Marc Ezgur, DC
- Chiropractor
- Chicago, IL
National Provider Identifier
1710078886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038007922
- Practice address
- 711 W North Ave Ste 201
Chicago, IL 60610-1042 - Phone
- (773) 525-9355
- NPI assigned
- Sep 27, 2006
- 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 | 038007922 | IL | Primary |
Addresses
Primary practice location
711 W North Ave Ste 201
Chicago, IL 60610-1042
Mailing address
6585 145TH Ave
Holland, MI 49423-8977
Phone (773) 307-6364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001607291 | Other | IL | BLUE CROSS BLUE SHIELD # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
711 W N Ave
Suite 201
Chicago, IL 60610-1042
Phone (773) 525-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Chiropractor
- Chicago, IL
- NPI 1164794913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1710078886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6585 145TH AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494238977",
"telephone_number": "773-307-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W NORTH AVE STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606101042",
"telephone_number": "773-525-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZGUR",
"first_name": "RICHARD",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038007922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD #",
"identifier": "0001607291",
"state": "IL"
}
],
"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 Jul 15, 2025; 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.