Individual provider Active NPI

Thomas G. George, D.C.

  • Chiropractor
  • Itasca, IL
National Provider Identifier
1760680714
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.010954 Issued in IL
Practice address
500 Park Blvd Ste 150
Itasca, IL 60143-1257
Phone
(847) 722-9313
Fax
(815) 782-6421
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.010954 IL Primary

Addresses

Primary practice location

500 Park Blvd Ste 150
Itasca, IL 60143-1257

Mailing address

26025 Whispering Woods Cir
Plainfield, IL 60585-2615
Phone (847) 722-9313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.010954ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Thomas George S.C. Chiropractor CurrentSince Mar 29, 2010 Accepting new patients

Locations

5 Parkway North Blvd
Deerfield, IL 60015
Phone (847) 722-9313

Organizations & group practices 1

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1760680714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26025 WHISPERING WOODS CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852615",
            "telephone_number": "847-722-9313",
            "fax_number": "847-699-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARK BLVD STE 150",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431257",
            "telephone_number": "847-722-9313",
            "fax_number": "815-782-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "THOMAS",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Itasca, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.