Individual provider Active NPI

Christopher Joseph Defabio, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1750935268
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013409 Issued in IL
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

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240917002412 NJ Practitioner - Chiropractic 7719219633 Reassigns benefits to 1 organization

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
Defabio Spine and Sports Rehab LLCGroup PAC ID 2860622131, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Defabio Spine and Sports Rehab, LLC CurrentSince Jul 7, 2024 Accepting new patients
Essential Health Solutions Inc PastSince Aug 6, 2019 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.

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.

Verify at the official NPI Registry.