Jason P Lamarche, D.C.
Individual provider Active NPI Chiropractor · Braidwood, IL
NPI 1710110481 · NPPES record last updated Jul 15, 2015
Key facts
- NPI
- 1710110481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038.011467 (IL)
- Practice address
- 180 E Main St
Braidwood, IL 60408-1912 - Phone
- (815) 458-2225
- Fax
- (815) 458-9825
- NPI assigned
- Aug 28, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
180 E Main St
Braidwood, IL 60408-1912
Phone (815) 458-2225
1999 Springbrook Square Dr
Suite 103
Naperville, IL 60564-5962
Phone (630) 637-3420
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091009000216 | IL | Practitioner - Chiropractic | 2264578913 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011467 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Rehabilitation Institute Braidwood LLC | Chiropractor | Current |
Accepting new patients |
| Revive Health Center, SC | Chiropractor | Current |
Accepting new patients |
| Gentle Hands Chiropractic, PC | Chiropractor | Past | Accepting new patients |
Locations
180 E Main St
Braidwood, IL 60408
Phone (815) 458-2225
1999 Springbrook Square Dr
Ste 103
Naperville, IL 60564
Phone (630) 637-3420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011467 | IL | Yes |
Addresses
Primary practice location
180 E Main St
Braidwood, IL 60408-1912
Mailing address
180 E. Main
Braidwood, IL 60408
Phone (815) 458-2225
Other providers in Braidwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.