David Jolly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013455 Issued in IL

Practice address

1200 Old Skokie Valley Rd
Highland Park, IL 60035-3036

Phone

(847) 748-8804

NPI assigned

Oct 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Healthe-Quest Systems, LTDGroup PAC ID 0244280840, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthe-Quest Systems, LTD

  • Sports Physician Chiropractor
  • Libertyville, IL
  • NPI 1265594121
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1962045658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8542 W BETTY TER",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD SKOKIE VALLEY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353036",
            "telephone_number": "847-748-8804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8542 W Betty Ter",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607141833",
            "country_code": "US",
            "telephone_number": "847-877-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Brotman LCSW
• David Andrew Johnson, P.T.
• Marcus Wayne Johnson, D.C.
• Randee Johnson, PH.D.
• Joint & Spine Rehabilitation of Northern Illinois
• Cleotha Aisha Jones, APN
• Whitney Lacrystal Jones
• Brittney Joseph
• Chandrashekhar Joshi, MD
• Joyful Living Therapy and Wellness, PLLC

• Chiropractor in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.