Organization Active NPI

Thomas J Lindstrom PC Inc

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1780647446
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THOMAS J LINDSTROM PC INC
Practice address
1965 W Downer PL
Suite 201
Aurora, IL 60506-4379
Phone
(630) 896-3377
Fax
(630) 896-2120
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Thomas John Lindstrom, D.C.NPI 1346249679
Title
Owner
Phone
(630) 896-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

1965 W Downer PL
Suite 201
Aurora, IL 60506-4379

Mailing address

1965 W Downer PL
Suite 201
Aurora, IL 60506-4379
Phone (630) 896-3377

Other identifiers 3

IdentifierTypeStateIssuer
4532710OtherILBCBS
DG6996OtherILRAILROAD MEDICARE
04515187OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000010 IL Part B Supplier - Clinic/Group Practice 1850291717 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, IL

National Provider Directory

National Provider Directory

Locations

1965 W Downer Pl
Ste 201
Aurora, IL 60506
Phone (630) 896-3377

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780647446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 W DOWNER PL",
            "address_2": "SUITE 201",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064379",
            "telephone_number": "630-896-3377",
            "fax_number": "630-896-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 W DOWNER PL",
            "address_2": "SUITE 201",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064379",
            "telephone_number": "630-896-3377",
            "fax_number": "630-896-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J LINDSTROM PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LINDSTROM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-896-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4532710",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG6996",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04515187",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.