Organization Active NPI

Dr Eunice M. Deane DC PC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1841408333
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008469 Issued in IL
Legal business name
DR EUNICE M. DEANE DC PC
Practice address
5951 N Elston Ave
Chicago, IL 60646-5504
Phone
(773) 631-5001
Fax
(773) 631-5007
NPI assigned
May 18, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Eunice M Deane, DCNPI 1992723365
Title
President
Phone
(773) 631-5001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008469 IL Primary

Addresses

Primary practice location

5951 N Elston Ave
Chicago, IL 60646-5504

Mailing address

5951 N Elston Ave
Chicago, IL 60646-5504
Phone (773) 631-5001

Other identifiers 1

IdentifierTypeStateIssuer
016-22939OtherILBCBS OF IL

National Provider Directory

National Provider Directory

Locations

5951 N Elston Ave
Chicago, IL 60646
Phone (773) 631-5001

6137 N Elston Ave
Chicago, IL 60646
Phone (773) 631-5001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1841408333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465504",
            "telephone_number": "773-631-5001",
            "fax_number": "773-631-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465504",
            "telephone_number": "773-631-5001",
            "fax_number": "773-631-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EUNICE M. DEANE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DEANE",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-631-5001",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "016-22939",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.