Active NPI
Douglas B Blunk, DC
- Chiropractor
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38010573
- Practice address
- 370 Houbolt Rd
Suite #101
Joliet, IL 64031-8303 - Phone
- (815) 741-9550
- Fax
- (815) 741-1735
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38010573 | IL | Primary |
Addresses
Primary practice location
370 Houbolt Rd
Suite #101
Joliet, IL 64031-8303
Mailing address
1222 Oregon Ave
Joliet, IL 60435-3717
Phone (815) 741-1352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10751 165TH St
Suite 100
Orland Park, IL 60467-8702
Phone (708) 403-5075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38010573 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Health Solutions SC | Current | Accepting new patients | |
| Advanced Physicians, S.C. | Current | Accepting new patients | |
| Advanced Physicians, S.C. | Past | Accepting new patients |
Locations
16101 Weber Rd
Crest Hill, IL 60403
Phone (815) 306-1100
14330 S Will Cook Rd
Homer Glen, IL 60491
Phone (708) 645-0288
10751 165th St
Ste 100
Orland Park, IL 60467
Phone (708) 403-5075
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.
-
dba Integrated Health Solutions Group, S.C.
- General Practice Physician
- Orland Park, IL
- NPI 1396362695
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Crest Hill, IL
- NPI 1124075288
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1750337077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891883153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 OREGON AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604353717",
"telephone_number": "815-741-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 HOUBOLT RD",
"address_2": "SUITE #101",
"city": "JOLIET",
"state": "IL",
"postal_code": "640318303",
"telephone_number": "815-741-9550",
"fax_number": "815-741-1735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUNK",
"first_name": "DOUGLAS",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "38010573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, 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.