Individual provider Active NPI

Nicole Tatsuguchi-Ongcal, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1982440087
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.014158 Issued in IL
Practice address
3514 N Southport Ave
Chicago, IL 60657-1436
Phone
(773) 248-2544
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.014158 IL Primary

Addresses

Primary practice location

3514 N Southport Ave
Chicago, IL 60657-1436

Mailing address

150 W Saint Charles Rd Apt 508
Lombard, IL 60148-2279

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826000737 IL Practitioner - Chiropractic 4082153812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve North II PLLCGroup PAC ID 0244620573, 2 clinicians

Practice addresses (Care Compare)

750 Bunker CT
Suite 700
Vernon Hills, IL 60061-1863
Phone (224) 424-4938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.014158ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Wellness LLC Chiropractor CurrentSince Jul 13, 2024 Accepting new patients
Evolve North II PLLC Chiropractor CurrentSince Sep 2, 2025 Accepting new patients
Active Wellness, LLC Chiropractor CurrentSince Jul 13, 2024 Accepting new patients

Locations

3514 N Southport Ave
Chicago, IL 60657
Phone (773) 248-2544

4555 N Lincoln Ave
Chicago, IL 60625
Phone (773) 328-8153

750 Bunker Ct
Ste 700
Vernon Hills, IL 60061
Phone (224) 424-4938

Organizations & group practices 3

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1982440087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W SAINT CHARLES RD APT 508",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571436",
            "telephone_number": "773-248-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATSUGUCHI-ONGCAL",
        "first_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014158",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 8, 2024; 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.