Individual provider Active NPI

Paul Harold Scheetz, D.C.

  • Chiropractor
  • Monee, IL
National Provider Identifier
1992734511
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009781 Issued in IL
Practice address
25646 S Governors Hwy Unit a
Monee, IL 60449-8921
Phone
(708) 534-5248
Fax
(708) 534-5519
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 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 038009781 IL Primary

Addresses

Primary practice location

25646 S Governors Hwy Unit a
Monee, IL 60449-8921

Mailing address

13975 Huseman St
Cedar Lake, IN 46303-9055

Other identifiers 1

IdentifierTypeStateIssuer
9932106OtherILBC PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000298 IL Practitioner - Chiropractic 0547340069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25646 S Governors Hwy
Unit a
Monee, IL 60449-8921
Phone (708) 534-5248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009781ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scheetz Chiropractic, P.C. Chiropractor CurrentSince Jul 29, 2009 Accepting new patients
Wallace Family Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

25646 S Governors Hwy
Unit A
Monee, IL 60449
Phone (708) 534-5248

5601 W Monee Manhattan Rd
Ste 100
Monee, IL 60449
Phone (708) 534-5248

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1992734511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13975 HUSEMAN ST",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25646 S GOVERNORS HWY UNIT A",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604498921",
            "telephone_number": "708-534-5248",
            "fax_number": "708-534-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEETZ",
        "first_name": "PAUL",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER NUMBER",
            "identifier": "9932106",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.