Active NPI
Justin M Gruby, DC
- Orthopedic Chiropractor
- Glenview, IL
National Provider Identifier
1972657344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiromend | Current | Accepting new patients | |
| First Health Assocates, SC | Nutrition | Past | 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.
-
- Chiropractor
- Glenview, IL
- NPI 1437549888
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.