Active NPI
Christopher Joseph Defabio, DC
- Chiropractor
- Chicago, IL
National Provider Identifier
1750935268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013409
- Practice address
- 5215 N Ravenswood Ave Ste 105
Chicago, IL 60640-1670 - Phone
- (773) 878-7330
- NPI assigned
- Aug 1, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 038.013409 | IL | Primary |
Addresses
Primary practice location
5215 N Ravenswood Ave Ste 105
Chicago, IL 60640-1670
Mailing address
621 W Melrose St Apt E3
Chicago, IL 60657-3425
Phone (908) 268-8790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
308 Springfield Ave
Suite 1
Berkeley Heights, NJ 07922-1278
Phone (908) 771-0220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Defabio Spine and Sports Rehab, LLC | Current | Accepting new patients | |
| Essential Health Solutions Inc | Past | Accepting new patients |
Locations
308 Springfield Ave
Ste 1
Berkeley Heights, NJ 07922
Phone (908) 771-0220
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1851675086
-
- Nutrition Education Nutritionist
- Chicago, IL
- NPI 1497872345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1750935268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 W MELROSE ST APT E3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573425",
"telephone_number": "908-268-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 N RAVENSWOOD AVE STE 105",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401670",
"telephone_number": "773-878-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFABIO",
"first_name": "CHRISTOPHER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-01",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013409",
"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 Aug 1, 2019; 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.