Active NPI
Linda Sue Breitenstein, DC
- Chiropractor
- Elmhurst, IL
National Provider Identifier
1790889947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 135 N Addison Ave
Suite 107
Elmhurst, IL 60126 - Phone
- (630) 530-0506
- Fax
- (630) 530-0854
- NPI assigned
- Sep 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
135 N Addison Ave
Suite 107
Elmhurst, IL 60126
Mailing address
135 N Addison Ave
Ste 107
Elmhurst, IL 60126
Phone (630) 530-0506
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2232660 | Other | IL | BCBS |
| 5761484 | Other | IL | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050405000853 | IL | Practitioner - Chiropractic | 9234186941 | Practice locations: Villa Park, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
63 E Park Blvd
Villa Park, IL 60181-2962
63 E Park Boulevard
Villa Park, IL 60181-2962
Phone (630) 617-5589
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038010331 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell Chiropractic Care, SC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopedic Chiropractor
- Elmhurst, IL
- NPI 1821141862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790889947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 N ADDISON AVE",
"address_2": "STE 107",
"city": "ELMHURST",
"state": "IL",
"postal_code": "60126",
"telephone_number": "630-530-0506",
"fax_number": "630-530-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N ADDISON AVE",
"address_2": "SUITE 107",
"city": "ELMHURST",
"state": "IL",
"postal_code": "60126",
"telephone_number": "630-530-0506",
"fax_number": "630-530-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREITENSTEIN",
"first_name": "LINDA SUE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2232660",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5761484",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.