Individual provider Active NPI

Steven M Santolin, D.C.

  • Chiropractor
  • Joliet, IL
National Provider Identifier
1902812423
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36-3800187 Issued in IL
Practice address
2145 W Jefferson St
Joliet, IL 60435-6621
Phone
(815) 744-4442
Fax
(815) 744-2985
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36-3800187 IL Primary

Addresses

Primary practice location

2145 W Jefferson St
Joliet, IL 60435-6621

Mailing address

2145 W Jefferson St
Joliet, IL 60435-6621
Phone (815) 744-4442

Other identifiers 2

IdentifierTypeStateIssuer
363800187OtherFEDERAL TAX ID
9982043OtherBLUE CROSS ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wible Family Chiropractic Chiropractor PastSince Jul 10, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: steven.santolin.1@14307.direct.athenahealth.com

Organizations & group practices 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1902812423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356621",
            "telephone_number": "815-744-4442",
            "fax_number": "815-744-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356621",
            "telephone_number": "815-744-4442",
            "fax_number": "815-744-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOLIN",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "36-3800187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "363800187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "9982043",
            "state": null
        }
    ],
    "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 Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.