Individual provider Active NPI

Manpreet Kaur Kullar, DC

  • Chiropractor
  • Oak Brook, IL
National Provider Identifier
1942901558
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013889 Issued in IL
Practice address
2625 Butterfield Rd Ste 301N
Oak Brook, IL 60523-1266
Phone
(800) 613-0922
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013889 IL Primary

Addresses

Primary practice location

2625 Butterfield Rd Ste 301N
Oak Brook, IL 60523-1266

Mailing address

2625 Butterfield Rd Ste 301N
Oak Brook, IL 60523-1266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605000502 IL Practitioner - Chiropractic 3577005610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycamore Service CorporationGroup PAC ID 2769448646, 3 clinicians

Practice addresses (Care Compare)

1680 Mediterranean Dr
Suite 101
Sycamore, IL 60178-3193
Phone (815) 899-6061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013889ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Service Corporation Chiropractor CurrentSince Apr 23, 2024 Accepting new patients
Sycamore Service Corporation Chiropractor CurrentSince Apr 23, 2024 Accepting new patients

Locations

1615 W Main St
St Charles, IL 60174
Phone (630) 513-0600

1680 Mediterranean Dr
Ste 101
Sycamore, IL 60178
Phone (815) 899-6061

Organizations & group practices 2

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1942901558",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "800-613-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULLAR",
        "first_name": "MANPREET",
        "middle_name": "KAUR",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.