Terence K Patrick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-006087 Issued in IL

Practice address

4111 W 26TH St
Chicago, IL 60623-4313

Phone

(815) 766-0534

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Axis Medical Management Goup SC

  • Rehabilitation Chiropractor
  • Chicago, IL
  • NPI 1932221397
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1811966104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234313",
            "telephone_number": "815-766-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234313",
            "telephone_number": "815-766-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "TERENCE",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "2290066",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Lynn Patrick, MD
• Janice R Patrick
• Jilma Patrick, M.D.
• Luke Joseph Patrick
• Quinn Patrick
• Malgorzata Patro, M.D.
• Victor German Patron Romero, M.D.
• Sophia Elizabeth Patroulis Lessig
• Yana Patrun, LCPC
• Keely Patt, LCSW

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.