Anmol Chandock, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5648-12 Issued in WI

Practice address

9755 76TH St Ste 730
Pleasant Prairie, WI 53158-1925

Phone

(262) 455-9440

NPI assigned

Jul 19, 2021

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

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 and National Provider Directory roles.

• Pri Chicago PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Elmhurst, IL
  • NPI 1639822737
  Medicare reassignment NPD
• Premiere Anesthesia Group LLC

  • Certified Registered Nurse Anesthetist
  • Park Ridge, IL
  • NPI 1720467392
  NPD
• Active Wellness, LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1902162662
  NPD (past)

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1902479819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 76TH ST STE 730",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581925",
            "telephone_number": "262-455-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDOCK",
        "first_name": "ANMOL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5648-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Casey, DO
• Rebecca M Cassity, OT
• Catalinas House LLC
• Pamela S Cava, D.O.
• Tabitha Cavin
• Sarah Michelle Chase
• Anne Chianello
• Children'S Dentistry of Kenosha LLC
• Chiro One Wellness Center of Pleasant Prairie LLC
• Robina Naz Chowdhery, MD

• Chiropractor in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.