Individual provider Active NPI

Justin M Gruby, DC

  • Orthopedic Chiropractor
  • Glenview, IL
National Provider Identifier
1972657344
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
Practice address
1834 Glenview Rd
2ND Floor
Glenview, IL 60025-6921
Phone
(847) 845-5984
Fax
(847) 486-1146
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X IL
Orthopedic Chiropractor 111NX0800X IL Primary

Addresses

Primary practice location

1834 Glenview Rd
2ND Floor
Glenview, IL 60025-6921

Mailing address

1834 Glenview Rd
2ND Floor
Glenview, IL 60025-6921
Phone (847) 845-5984

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070306000268 IL Practitioner - Chiropractic 9335242791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
ChiromendGroup PAC ID 3072826064, 2 clinicians

Practice addresses (Care Compare)

1834 Glenview Rd
Suite 2W
Glenview, IL 60025-6921
Phone (847) 730-3988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiromend CurrentSince Apr 15, 2015 Accepting new patients
First Health Assocates, SC Nutrition PastSince Nov 13, 2000 Accepting new patients

Locations

1834 Glenview Rd
Fl 2
Glenview, IL 60025
Phone (847) 845-5984

1834 Glenview Rd
Ste 2W
Glenview, IL 60025
Phone (847) 730-3988

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1972657344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 GLENVIEW RD",
            "address_2": "2ND FLOOR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600256921",
            "telephone_number": "847-845-5984",
            "fax_number": "847-486-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 GLENVIEW RD",
            "address_2": "2ND FLOOR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600256921",
            "telephone_number": "847-845-5984",
            "fax_number": "847-486-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBY",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.