Tara Diederich Gerou, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011866 Issued in IL

Practice address

1001 Madison St
Oak Park, IL 60302-4443

Phone

(773) 680-4743

NPI assigned

Jan 14, 2011

Last updated

Jan 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

National College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White Lotus Chiropractic of Oak Park LTD

  • Chiropractor
  • Oak Park, IL
  • NPI 1699066167
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1801191218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024443",
            "telephone_number": "773-680-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024443",
            "telephone_number": "773-680-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROU",
        "first_name": "TARA",
        "middle_name": "DIEDERICH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Gerdes
• Audrey Gerdt, MSW, LCSW
• Geriatric Therapy Specialist, Inc
• Madeline J Gerig Shelly
• Nicole H Gerndt, LCPC
• Gesl Medical Imaging MD SC LTD
• Rad Gharavi, M.D.
• Sura Ghazi, DMD
• Farid Gholitabar, M.D.
• Samantha Gianakas, MS, RD, LDN

• Chiropractor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.