Individual provider Active NPI

Nathaniel Proce, DC

  • Neurology Chiropractor
  • Wood Dale, IL
National Provider Identifier
1871051706
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
038014201 Issued in IL
Practice address
199 S Addison Rd # 105-106
Wood Dale, IL 60191-1929
Phone
(630) 766-1552
Fax
(630) 766-4220
NPI assigned
Mar 11, 2019
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12721 FL
Chiropractor 111N00000X 013235 NY
Chiropractor 111N00000X 38MC00763400 NJ
Neurology Chiropractor 111NN0400X 038014201 IL Primary

Addresses

Primary practice location

199 S Addison Rd # 105-106
Wood Dale, IL 60191-1929

Mailing address

199 S Addison Rd # 105-106
Wood Dale, IL 60191-1929
Phone (630) 766-1552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021002992 IL Practitioner - ChiropracticPractitioner - Neurology 1557691003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12721FLMDChiropractor
038014201ILMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Neuro & Physical Rehabilitation LTD Chiropractor CurrentSince Oct 10, 2024 Accepting new patients
Neurologic Wellness Institute PLLC Neurology Past Accepting new patients

Locations

199 S Addison Rd
Wood Dale, IL 60191
Phone (630) 766-1552

199 S Addison Rd
#105106
Wood Dale, IL 60191
Phone (630) 766-1552

199 S Addison Rd
Ste 106
Wood Dale, IL 60191
Phone (630) 766-1552

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1871051706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 S ADDISON RD # 105-106",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911929",
            "telephone_number": "630-766-1552",
            "fax_number": "630-766-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S ADDISON RD # 105-106",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911929",
            "telephone_number": "630-766-1552",
            "fax_number": "630-766-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCE",
        "first_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12721",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013235",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00763400",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": "038014201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood Dale, IL

Sources for this page

Verify at the official NPI Registry.