Active NPI
Jeffrey Witek, D.C.
- Chiropractor
- Bartlett, IL
National Provider Identifier
1760804710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012557
- Practice address
- 825 S. Illinois Route 59
Bartlett, IL 60103-1629 - Phone
- (630) 289-1181
- Fax
- (630) 289-1186
- NPI assigned
- Jan 10, 2014
- Last updated
- Feb 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 038.012557 | IL | Primary |
Addresses
Primary practice location
825 S. Illinois Route 59
Bartlett, IL 60103-1629
Mailing address
396 Virginia PL
Wheeling, IL 60090-4924
Phone (630) 289-1181
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012557 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenkins Chiropractic LTD | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Bartlett, IL
- NPI 1871915769
-
- Chiropractor
- Lombard, IL
- NPI 1588713994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1760804710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 VIRGINIA PL",
"city": "WHEELING",
"state": "IL",
"postal_code": "600904924",
"telephone_number": "630-289-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S. ILLINOIS ROUTE 59",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601031629",
"telephone_number": "630-289-1181",
"fax_number": "630-289-1186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITEK",
"first_name": "JEFFREY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-10",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.