Individual provider Active NPI

Eric James Lukosus, D.C.

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1992774277
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008240 Issued in IL
Practice address
3360 Lacrosse LN Ste 116
Naperville, IL 60564-8155
Phone
(630) 904-9700
Fax
(630) 904-9713
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 038-008240 IL Primary

Addresses

Primary practice location

3360 Lacrosse LN Ste 116
Naperville, IL 60564-8155

Mailing address

3360 Lacrosse LN Ste 116
Naperville, IL 60564-8155
Phone (630) 904-9700

Other identifiers 1

IdentifierTypeStateIssuer
9932170OtherILBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000754 IL Practitioner - Chiropractic 1456310812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3360 Lacrosse LN
Suite 116
Naperville, IL 60564-8155
Phone (630) 904-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008240ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wheaton Healthcare, LLC PastSince Apr 7, 2018 Accepting new patients

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1992774277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 LACROSSE LN STE 116",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648155",
            "telephone_number": "630-904-9700",
            "fax_number": "630-904-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 LACROSSE LN STE 116",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648155",
            "telephone_number": "630-904-9700",
            "fax_number": "630-904-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOSUS",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-08-05",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "9932170",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.