Individual provider Active NPI

Eumi Ann Chang, D.C.

  • Chiropractor
  • La Grange Park, IL
National Provider Identifier
1770814048
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011622 Issued in IL
Practice address
440 Sherwood Rd
La Grange Park, IL 60526-1968
Phone
(708) 588-8270
Fax
(708) 588-8271
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011622 IL Primary

Addresses

Primary practice location

440 Sherwood Rd
La Grange Park, IL 60526-1968

Mailing address

8033 Kenton Ave
#1W
Skokie, IL 60076-3155
Phone (847) 971-5625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121212000546 IL Practitioner - Chiropractic 4880846146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Balance Chiropractic and Acupuncture Center LTDGroup PAC ID 9739123845, 3 clinicians

Practice addresses (Care Compare)

518 Hillgrove Ave
Suite 275
Western Springs, IL 60558-1460
Phone (708) 588-8270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Balance Chiropractic & Acupuncture Center, LTD. Chiropractor CurrentSince Sep 1, 2012 Accepting new patients
Margaret E Brownlie DC PC Chiropractor Past Accepting new patients

Locations

18 W 1st St
Ste 2
Hinsdale, IL 60521
Phone (630) 455-5885

440 Sherwood Rd
La Grange Pk, IL 60526
Phone (708) 579-1003

518 Hillgrove Ave
Ste 275
Western Springs, IL 60558
Phone (708) 588-8270

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1770814048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 KENTON AVE",
            "address_2": "#1W",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763155",
            "telephone_number": "847-971-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SHERWOOD RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261968",
            "telephone_number": "708-588-8270",
            "fax_number": "708-588-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "EUMI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.