Individual provider Active NPI

Kelly J Low, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1720174311
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
6416 W Higgins Ave
Chicago, IL 60656-2203
Phone
(773) 774-6771
Fax
(773) 774-6789
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

6416 W Higgins Ave
Chicago, IL 60656-2203

Mailing address

6416 W Higgins Ave
Chicago, IL 60656-2203
Phone (773) 774-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000242 IL Practitioner - Chiropractic 5991863680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deborah L Weiss-Debrown PCGroup PAC ID 5294812830, 2 clinicians

Practice addresses (Care Compare)

6416 W Higgins Ave
Chicago, IL 60656-2203
Phone (773) 774-6771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038007346ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah L Weiss-Debrown PC Chiropractor CurrentSince Jun 1, 2008 Accepting new patients
Kelly Low Chiropractor CurrentSince Mar 12, 2024 Accepting new patients

Locations

6416 W Higgins Ave
Chicago, IL 60656
Phone (312) 774-6771

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720174311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562203",
            "telephone_number": "773-774-6771",
            "fax_number": "773-774-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562203",
            "telephone_number": "773-774-6771",
            "fax_number": "773-774-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "KELLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.

Verify at the official NPI Registry.