Lawrence A Zidek, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008927 Issued in IL

Practice address

203 N Throop St
Suite 2
Woodstock, IL 60098-3224

Phone

(815) 861-9753

NPI assigned

Oct 4, 2006

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

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dennis R Zidek DC

  • Chiropractor
  • Wonder Lake, IL
  • NPI 1114363322
  NPD (past)
• Wonder Lake Chiropractic, LLC

  • Clinic/Center
  • Wonder Lake, IL
  • NPI 1134541428
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1740375096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N THROOP ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983224",
            "telephone_number": "815-861-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N THROOP ST",
            "address_2": "SUITE 2",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983224",
            "telephone_number": "815-861-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIDEK",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanie Ann Young, MS, RD, LDN
• Michael A Zaino, MD
• Ricca Zaino, MD
• Magdalena Zelazko
• Jesell Zepeda, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.