Active NPI
Michael William Hausch, D.C.
- Chiropractor
- Chicago, IL
National Provider Identifier
1972791184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038008058
- Practice address
- 11001 S Kedzie Ave
Chicago, IL 60655-2221 - Phone
- (773) 585-5550
- Fax
- (773) 585-1061
- NPI assigned
- Oct 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 038008058 | IL | Primary |
Addresses
Primary practice location
11001 S Kedzie Ave
Chicago, IL 60655-2221
Mailing address
11001 S Kedzie Ave
Chicago, IL 60655-2221
Phone (773) 585-5550
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1623616 | Other | IL | BLUE CROSS BLUE SHIELD |
| 364356477 | Other | IL | UNICARE |
| 364356477 | Other | IL | UNITED HEALTH CARE |
| 350049294 | Other | IL | RAILROAD MEDICARE |
| 4046624 | Other | IL | CIGNA HEALTH CARE |
| 364356477 | Other | IL | GREAT WEST |
| 7972161 | Other | IL | AETNA |
| 364356477 | Other | IL | HUMANA |
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
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11001 S Kedzie Ave
Chicago, IL 60655-2221
Phone (773) 239-7777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwood Spine Care PLLC | Chiropractor | Current | Accepting new patients |
| Axis Physical Medicine | Past | Accepting new patients |
Locations
11001 S Kedzie Ave
Chicago, IL 60655
Phone (773) 239-7777
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
- Chicago, IL
- NPI 1528521341
-
- Physical Therapist
- Chicago, IL
- NPI 1134533615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1972791184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 S KEDZIE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606552221",
"telephone_number": "773-585-5550",
"fax_number": "773-585-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11001 S KEDZIE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606552221",
"telephone_number": "773-585-5550",
"fax_number": "773-585-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSCH",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-12",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038008058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1623616",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "364356477",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "364356477",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350049294",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "4046624",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "364356477",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7972161",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "364356477",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.