Organization Active NPI

Nowicki Chiropractic Corporation

  • Sports Physician Chiropractor
  • Rolling Meadows, IL
National Provider Identifier
1891071114
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
038010616 Issued in IL
Legal business name
NOWICKI CHIROPRACTIC CORPORATION
Practice address
1841 Hicks Rd
Suite C
Rolling Meadows, IL 60008-1250
Phone
(847) 845-4281
Fax
(847) 496-5685
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Dr. Nicholas Nowicki, D.C.NPI 1417994591
Title
Owner
Phone
(847) 845-4281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 038010616 IL Primary

Addresses

Primary practice location

1841 Hicks Rd
Suite C
Rolling Meadows, IL 60008-1250

Mailing address

1841 Hicks Rd
Suite C
Rolling Meadows, IL 60008-1250
Phone (847) 845-4281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111215000514 IL Part B Supplier - Clinic/Group Practice 9931374246 Receives reassigned benefits from 1 practitioner
Practice locations: Rolling Meadows, IL

National Provider Directory

National Provider Directory

Locations

1841 Hicks Rd
Ste C
Rolling Meadows, IL 60008
Phone (847) 845-4281

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1891071114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 HICKS RD",
            "address_2": "SUITE C",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081250",
            "telephone_number": "847-845-4281",
            "fax_number": "847-496-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 HICKS RD",
            "address_2": "SUITE C",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081250",
            "telephone_number": "847-845-4281",
            "fax_number": "847-496-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOWICKI CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "NOWICKI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-845-4281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038010616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.