Active NPI
Robert John Krzyzewski Jr., DC
- Chiropractor
- Wheaton, IL
National Provider Identifier
1952460503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 213 W Willow
Wheaton, IL 60187 - Phone
- (630) 668-2277
- Fax
- (630) 668-2675
- NPI assigned
- Dec 8, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
213 W Willow
Wheaton, IL 60187
Mailing address
213 W Willow
Wheaton, IL 60187
Phone (630) 668-2277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2201483 | Other | IL | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1952460503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 W WILLOW",
"city": "WHEATON",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-668-2277",
"fax_number": "630-668-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 W WILLOW",
"city": "WHEATON",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-668-2277",
"fax_number": "630-668-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRZYZEWSKI",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2201483",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.