Keith E Olding, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-011-840 Issued in IL

Practice address

1209 W Grace St
Chicago, IL 60613-2805

Phone

(773) 525-2225

NPI assigned

Sep 29, 2006

Last updated

Mar 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southport Grace Chiropractic and Wellness LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1629539291
  Medicare reassignment NPD Authorized official
• Southport Grace Wellness Center LTD.

  • Chiropractor
  • Chicago, IL
  • NPI 1700089430
  NPD (past)
• Minster Chiropractic Center, LLC

  • Chiropractor
  • Minster, OH
  • NPI 1679966147
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1881786424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 W GRACE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132805",
            "telephone_number": "773-525-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W GRACE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132805",
            "telephone_number": "773-525-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDING",
        "first_name": "KEITH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1588",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-011-840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Oldeg, M.D.
• James Oldenburg, OTR/L
• Molly Older, LCSW
• Kelley Oldham, L.C.P.C
• Lisa Marie Oldham, M.D.
• Leslie Eisha Olds
• Lizbetth Olea
• Madelle Audrey A Olea
• Marshall S Olech, DDS
• Uchenna Olekanma, M.D.

• 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 Mar 20, 2019; 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.