Active NPI
Damir Simunac, D.C.
- Chiropractor
- Niles, IL
National Provider Identifier
1811378441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012818
- Practice address
- 6663 W Howard St
Niles, IL 60714-3305 - Phone
- (847) 886-4419
- NPI assigned
- Jun 9, 2015
- Sex
- Male
- 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 | 038012818 | IL | Primary |
Addresses
Primary practice location
6663 W Howard St
Niles, IL 60714-3305
Mailing address
1852 Janke Dr Ste a
Northbrook, IL 60062-6711
Phone (847) 886-4419
Other practice location 1
1852 Janke Dr Ste A
Northbrook, IL 60062-6711
Phone (847) 886-4419
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Revolution Lakeview LLC | Chiropractor | 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.
-
- Chiropractor
- Chicago, IL
- NPI 1063920916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1811378441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1852 JANKE DR STE A",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600626711",
"telephone_number": "847-886-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6663 W HOWARD ST",
"city": "NILES",
"state": "IL",
"postal_code": "607143305",
"telephone_number": "847-886-4419"
}
],
"practiceLocations": [
{
"address_1": "1852 Janke Dr Ste A",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600626711",
"country_code": "US",
"telephone_number": "847-886-4419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMUNAC",
"first_name": "DAMIR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.