Justin Michael Taylor, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012323 Issued in IL

Practice address

1189 N Gary Ave
Carol Stream, IL 60188-9423

Phone

(630) 517-5674

NPI assigned

Jul 22, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bodyworks Medical Center PLLCGroup PAC ID 6507110905, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bodyworks Medical Center PLLC

  • General Practice Physician
  • Carol Stream, IL
  • NPI 1144700105
  Medicare reassignment Care Compare group NPD
• Bodyworks Medical Center of Geneva PLLC

  • General Practice Physician
  • Saint Charles, IL
  • NPI 1801485610
  Medicare reassignment NPD
• Elmhurst Olympic Service Corporation

  • Chiropractor
  • Elmhurst, IL
  • NPI 1174696959
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1770925596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263951",
            "telephone_number": "630-833-4437",
            "fax_number": "630-833-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 N GARY AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889423",
            "telephone_number": "630-517-5674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 S York St",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601263951",
            "country_code": "US",
            "telephone_number": "630-833-4437",
            "fax_number": "630-833-4438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "923 S Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "IL",
            "postal_code": "601741556",
            "country_code": "US",
            "telephone_number": "630-601-3361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1193 N Gary Ave",
            "address_purpose": "LOCATION",
            "city": "Carol Stream",
            "state": "IL",
            "postal_code": "601889423",
            "country_code": "US",
            "telephone_number": "630-332-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Taccona, APRN, FNP-BC
• Raymundo Bernardo Tad-Y Jr., LCPC, NCE, NCSC
• Nicole Jean Talsma, MS
• Douglas Tansor Jr., D.C.
• Brandon Mitchell Taylor, D.C.
• Jennifer Teich, PTA
• The Carlton Center Inc
• The Carlton Center Inc
• The Evangelical Alliance Mission
• Robin E Theis, OTR/L

• Chiropractor in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.