Individual provider Active NPI

Nathan Gerowitz

  • Chiropractor
  • Palatine, IL
National Provider Identifier
1992295711
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013173 Issued in IL
Practice address
4880 Euclid Ave Ste 101
Palatine, IL 60067-7276
Phone
(847) 991-7401
NPI assigned
May 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013173 IL Primary

Addresses

Primary practice location

4880 Euclid Ave Ste 101
Palatine, IL 60067-7276

Mailing address

4880 Euclid Ave Ste 101
Palatine, IL 60067-7276
Phone (847) 991-7401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808003499 IL Practitioner - Chiropractic 6709134653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4880 Euclid Ave
Suite 104
Palatine, IL 60067-7276
Phone (224) 836-1556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Life Chiropractic, LLC Chiropractor CurrentSince Jun 16, 2018 Accepting new patients

Locations

4880 Euclid Ave
Ste 101
Rolling Meadows, IL 60067
Phone (844) 941-3937

4880 Euclid Ave
Ste 104
Rolling Meadows, IL 60067
Phone (224) 836-1556

Organizations & group practices 1

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": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1992295711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 EUCLID AVE STE 101",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677276",
            "telephone_number": "847-991-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 EUCLID AVE STE 101",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677276",
            "telephone_number": "847-991-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROWITZ",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.