Sebastian R Fuksa, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009936 Issued in IL

Practice address

4581 Princeton LN
Suite 119
Lake in the Hills, IL 60156

Phone

(847) 669-6888

Fax

(847) 669-8203

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precise Chiropractic Center 3 clinicians

Practice addresses (Care Compare)

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.

• Precise Chiropractic Center

  • Chiropractor
  • Lake in the Hills, IL
  • NPI 1225236714

  IL

  Medicare reassignment Care Compare group Authorized official
• Health Solutions Integrated Medi Care, PLLC

  • Primary Care Clinic/Center
  • Morton, IL
  • NPI 1962223909
  NPD (past)
• Health Solutions of Morton, LLC

  • Chiropractor
  • Morton, IL
  • NPI 1598776486
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1821178401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 PRINCETON LANE",
            "address_2": "SUITE 119",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "60156",
            "telephone_number": "847-669-6888",
            "fax_number": "847-669-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4581 PRINCETON LN",
            "address_2": "SUITE 119",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "60156",
            "telephone_number": "847-669-6888",
            "fax_number": "847-669-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUKSA",
        "first_name": "SEBASTIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "05632177",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kristina Galuszka, LCPC, CADC
• Kyle Garifo

• All providers in Lake in the Hills, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.