Individual provider Active NPI

Jennifer Skrabutenas, DC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1790267805
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013241 Issued in IL
Practice address
603 E Diehl Rd Ste 135
Naperville, IL 60563-7890
Phone
(630) 505-4040
Fax
(630) 505-9847
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013241 IL Primary

Addresses

Primary practice location

603 E Diehl Rd Ste 135
Naperville, IL 60563-7890

Mailing address

603 E Diehl Rd Ste 135
Naperville, IL 60563-7890
Phone (630) 505-4040

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

State licenses

LicenseStateTypeSpecialty
038013241ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1790267805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E DIEHL RD STE 135",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605637890",
            "telephone_number": "630-505-4040",
            "fax_number": "630-505-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E DIEHL RD STE 135",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605637890",
            "telephone_number": "630-505-4040",
            "fax_number": "630-505-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRABUTENAS",
        "first_name": "JENNIFER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.