Individual provider Active NPI

Michael D Szarmach, D.C.

  • Chiropractor
  • Crete, IL
National Provider Identifier
1902970387
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007167 Issued in IL
Practice address
1395B Main St Ste B
Crete, IL 60417-2961
Phone
(708) 672-6744
Fax
(708) 672-6788
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007167 IL Primary

Addresses

Primary practice location

1395B Main St Ste B
Crete, IL 60417-2961

Mailing address

1395B Main St Ste B
Crete, IL 60417-2961
Phone (708) 672-6744

Other practice location 1

11244 W La Porte Rd
Mokena, IL 60448-1583
Phone (708) 478-3818

Other identifiers 2

IdentifierTypeStateIssuer
09922996OtherILBCBS PROVIDER NUMBER
038-007167OtherILSTATE LICENSE NUMBER

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

State licenses

LicenseStateTypeSpecialty
038-007167ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1902970387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395B MAIN ST STE B",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172961",
            "telephone_number": "708-672-6744",
            "fax_number": "708-672-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395B MAIN ST STE B",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172961",
            "telephone_number": "708-672-6744",
            "fax_number": "708-672-6788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11244 W La Porte Rd",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604481583",
            "country_code": "US",
            "telephone_number": "708-478-3818",
            "fax_number": "708-672-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZARMACH",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  PROVIDER NUMBER",
            "identifier": "09922996",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "038-007167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.