Brian Robert Kelchen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012071 Issued in IL

Practice address

1785 Northwind Blvd
Libertyville, IL 60048-9617

Phone

(847) 996-0007

NPI assigned

Nov 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Libertyville Wellness Group, Inc

  • Chiropractor
  • Libertyville, IL
  • NPI 1093090367
  Medicare reassignment
• One Goal Wellness, Inc

  • Chiropractor
  • Lake Villa, IL
  • NPI 1861894081
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1730466947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 W KRISTINA LN",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600735619",
            "telephone_number": "319-480-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 NORTHWIND BLVD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489617",
            "telephone_number": "847-996-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELCHEN",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Kay
• Shahab Kazi, DO
• Caryn Alison Kedzierski, M.A., CCC-A
• Catherine Keefe
• Allison Keenan
• Jordan Lee Kellgren, M.S. CCC-SLP
• Kelly Behrends, PSYD, PC
• Jauren D Kelly, PSY.D.
• Rebecca J Kennedy, MD
• Malan Hasula Kern, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.