Organization Active NPI

Livanos Chiropractic Health Care

  • Chiropractor
  • Winfield, IL
National Provider Identifier
1962969394
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIVANOS CHIROPRACTIC HEALTH CARE
Practice address
27W281 Geneva Rd Ste C
Winfield, IL 60190-2037
Phone
(331) 806-3072
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Jeanene Livanos, DCNPI 1255324463
Title
Owner
Phone
(331) 806-3072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

27W281 Geneva Rd Ste C
Winfield, IL 60190-2037

Mailing address

27W281 Geneva Rd Ste C
Winfield, IL 60190-2037
Phone (331) 806-3072

Other names 1

  • Livanos Chiropractic Health Care Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190416002854 IL Part B Supplier - Clinic/Group Practice 3779824941 Receives reassigned benefits from 1 practitioner
Practice locations: Winfield, IL

National Provider Directory

National Provider Directory

Locations

27W281 Geneva Rd
Ste C
Winfield, IL 60190
Phone (331) 806-3072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1962969394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W281 GENEVA RD STE C",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902037",
            "telephone_number": "331-806-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W281 GENEVA RD STE C",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902037",
            "telephone_number": "331-806-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVANOS CHIROPRACTIC HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "LIVANOS",
        "authorized_official_first_name": "JEANENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "331-806-3072",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livanos Chiropractic Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.