Individual provider Active NPI

Devon Marie James, D.C.

  • Chiropractor
  • La Grange, IL
National Provider Identifier
1780954198
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012109 Issued in IL
Practice address
512 W Burlington Ave
Suite 103
La Grange, IL 60525-2221
Phone
(630) 332-0166
Fax
(630) 332-5133
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012109 IL Primary

Addresses

Primary practice location

512 W Burlington Ave
Suite 103
La Grange, IL 60525-2221

Mailing address

512 W Burlington Ave
Suite 103
La Grange, IL 60525-2221
Phone (630) 332-0166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121025000094 IL Practitioner - Chiropractic 3072763200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

512 W Burlington Ave
Suite 103
La Grange, IL 60525-2234
Phone (734) 578-6495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012109ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Devon Acou DC, LLC Chiropractor CurrentSince Dec 1, 2014 Accepting new patients
Within Reach Healing LLC Chiropractor Current Accepting new patients

Locations

512 W Burlington Ave
Ste 103
La Grange, IL 60525
Phone (630) 332-0166

1052 Hillgrove Ave
Western Springs, IL 60558
Phone (630) 809-5254

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": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1780954198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W BURLINGTON AVE",
            "address_2": "SUITE 103",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252221",
            "telephone_number": "630-332-0166",
            "fax_number": "630-332-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W BURLINGTON AVE",
            "address_2": "SUITE 103",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252221",
            "telephone_number": "630-332-0166",
            "fax_number": "630-332-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "DEVON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.