Individual provider Active NPI

Staci Ahrens, D.C.

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1891838777
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
1222 N Eola Rd
Aurora, IL 60502-9409
Phone
(630) 499-8804
Fax
(630) 499-9898
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

1222 N Eola Rd
Aurora, IL 60502-9409

Mailing address

1222 N Eola Rd
Aurora, IL 60502-9409
Phone (630) 499-8804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140327001839 IL Practitioner - Chiropractic 2264663632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Wellness LLCGroup PAC ID 3072752864, 21 clinicians

Practice addresses (Care Compare)

4555 N Lincoln Ave
Chicago, IL 60625-2102
Phone (847) 791-7012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010117ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Wellness LLC Chiropractor CurrentSince Mar 1, 2014 Accepting new patients
Active Wellness, LLC Chiropractor CurrentSince Mar 1, 2014 Accepting new patients
Active Wellness, LLC Chiropractor Past Accepting new patients

Locations

215 W Superior St
Chicago, IL 60654
Phone (773) 906-5600

3514 N Southport Ave
Chicago, IL 60657
Phone (773) 248-2544

560 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 328-8153

4555 N Lincoln Ave
Chicago, IL 60625
Phone (773) 328-8153

1335 S Michigan Ave
Chicago, IL 60605
Phone (312) 216-2420

710 Deerfield Rd
Deerfield, IL 60015
Phone (224) 632-1860

134 N York St
Elmhurst, IL 60126
Phone (331) 462-1167

910 Davis St
Evanston, IL 60201
Phone (773) 598-4387

1105 N Elmhurst Rd
Mt Prospect, IL 60056
Phone (224) 676-2318

15222 S La Grange Rd
Ste 8
Orland Park, IL 60462

40 N Northwest Hwy
Park Ridge, IL 60068
Phone (773) 231-7081

925 N Milwaukee Ave
Unit 300
Vernon Hills, IL 60061
Phone (224) 632-1859

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891838777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 N EOLA RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029409",
            "telephone_number": "630-499-8804",
            "fax_number": "630-499-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 N EOLA RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029409",
            "telephone_number": "630-499-8804",
            "fax_number": "630-499-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHRENS",
        "first_name": "STACI",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.