Active NPI
Randal Austin Cybulski, DC
- Chiropractor
- Plainfield, IL
National Provider Identifier
1922877976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.014097
- Practice address
- 12337 S Route 59 Unit 119
Plainfield, IL 60585-4626 - Phone
- (815) 267-6263
- NPI assigned
- Jan 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 038.014097 | IL | Primary |
Addresses
Primary practice location
12337 S Route 59 Unit 119
Plainfield, IL 60585-4626
Mailing address
113 N Madison St
Oswego, IL 60543-9471
Phone (630) 999-0996
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.014097 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704067200000",
"number": "1922877976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 N MADISON ST",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605439471",
"telephone_number": "630-999-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12337 S ROUTE 59 UNIT 119",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605854626",
"telephone_number": "815-267-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYBULSKI",
"first_name": "RANDAL",
"middle_name": "AUSTIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-01",
"last_updated": "2024-01-01",
"certification_date": "2023-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.014097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.