Active NPI
Eunice M Deane, DC
- Chiropractor
- Chicago, IL
National Provider Identifier
1992723365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-008469
- Practice address
- 5951 N Elston Ave
Chicago, IL 60646-5504 - Phone
- (773) 631-5001
- Fax
- (773) 631-5007
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 038-008469 | IL | Primary |
Addresses
Primary practice location
5951 N Elston Ave
Chicago, IL 60646-5504
Mailing address
5951 N Elston Ave
Chicago, IL 60646-5504
Phone (773) 631-5001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016-22939 | Other | IL | BCBS OF IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-008469 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1992723365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5951 N ELSTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465504",
"telephone_number": "773-631-5001",
"fax_number": "773-631-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5951 N ELSTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465504",
"telephone_number": "773-631-5001",
"fax_number": "773-631-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANE",
"first_name": "EUNICE",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-008469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "016-22939",
"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 Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.