Timothy Charles Kolbaba, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011312 Issued in IL

Practice address

350 W Kensington Rd
Ste 102
Mount Prospect, IL 60056-1141

Phone

(847) 222-9060

Fax

(847) 222-9130

NPI assigned

Jan 19, 2009

Last updated

Jun 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. David C. Kolbaba and Associates, IncGroup PAC ID 5991808792, 2 clinicians

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.

• Dr. David C. Kolbaba & Associates, Inc

  • Nutrition Chiropractor
  • West Dundee, IL
  • NPI 1437201829
  Medicare reassignment Care Compare group NPD
• Advanced Physical Medicine & Therapy, LTD.

  • Customized Equipment (DME)
  • Mount Prospect, IL
  • NPI 1821680273
  NPD
• Chiro-Med Pain Treatment Center P.C.

  • Chiropractor
  • Orland Park, IL
  • NPI 1205933116
  NPD (past)
• Advance Pain & Anesthesia Consultants, PC

  • Durable Medical Equipment & Medical Supplies
  • La Porte, IN
  • NPI 1629966106
  NPD (past)

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1891932497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W KENSINGTON RD",
            "address_2": "STE 102",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561141",
            "telephone_number": "847-222-9060",
            "fax_number": "847-222-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W KENSINGTON RD",
            "address_2": "STE 102",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561141",
            "telephone_number": "847-222-9060",
            "fax_number": "847-222-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBABA",
        "first_name": "TIMOTHY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Kmit
• Danielle Kneller, MS OTR/L
• Joann Kochikaran, D.D.S
• Ernestine Monica Koehn, FNP-BC
• Lisa Michelle Kohut, ED.D, ED.S, M.ED,
• Margaret Kopper, MS CCC SLP
• Anna Koruba, LMT
• Ewa P Koser, DDS
• Vasiliki Elizabeth Koutsoulis
• Sabina K Kozlowski, DN

• Chiropractor in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.