Jonathan Mark Polcyn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010557 Issued in IL

Practice address

2155 City Gate LN Ste 123
Naperville, IL 60563-7733

Phone

(331) 249-3999

Fax

(815) 717-8416

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Integrated Physical Medicine of Naperville PLLC

  dba Integrated Physical Medicine

  • Chiropractor
  • Naperville, IL
  • NPI 1013559020
  Medicare reassignment NPD Authorized official
• Ipm Service Company LLC

  dba Integrated Physical Medicine

  • Chiropractor
  • Joliet, IL
  • NPI 1699018093
  Medicare reassignment NPD Authorized official
• Integrated Physical Medicine, LLC

  • Chiropractor
  • New Lenox, IL
  • NPI 1700103264
  Medicare reassignment NPD
• Roselle Service Company LLC

  dba Integrated Physical Medicine of Roselle

  • Chiropractor
  • Roselle, IL
  • NPI 1871963256
  Medicare reassignment NPD

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1982817813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 CITY GATE LN STE 123",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605637733",
            "telephone_number": "331-249-3999",
            "fax_number": "331-249-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 CITY GATE LN STE 123",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605637733",
            "telephone_number": "331-249-3999",
            "fax_number": "815-717-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLCYN",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Poage, LCSW
• Patricia Podgornik, D.C.
• Elizabeth Podlasek, APN-CNP
• Danielle Poirier
• Polaris Behavioral Health Services Corporation
• Haidee Maura Polgar, NP
• Nancy Josephine Polich, D.C.
• Marisa Policicchio, CCC-SLP
• Andrea Polites, LCSW
• Susan Pollard

• Chiropractor in Naperville, IL
• Providers in Naperville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.