Individual provider Active NPI

Tushar A Rawalji, DC

  • Chiropractor
  • Forest Park, IL
National Provider Identifier
1992848154
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010693 Issued in IL
Practice address
7251 Madison St
Forest Park, IL 60130-1764
Phone
(708) 405-6980
Fax
(708) 405-6985
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11969 TX
Chiropractor 111N00000X 038010693 IL Primary

Addresses

Primary practice location

7251 Madison St
Forest Park, IL 60130-1764

Mailing address

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523-1234
Phone (630) 468-1824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081009000373 IL Practitioner - Chiropractic 1355419946

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1320 N RT 59
Suite 164
Naperville, IL 60563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
11969TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Health on Earth of Naperville, LLC Chiropractor Current Accepting new patients
Rawalji Inc Chiropractor CurrentSince Feb 4, 2021 Accepting new patients
Evolve Chiropractic Palatine PLLC Chiropractor PastSince Jan 1, 2017 Accepting new patients
Chiro One Wellness Center of Allen PLLC Chiropractor PastSince Oct 17, 2013 Accepting new patients
Immediate Pain Care of Woodridge LLC Past Accepting new patients
Chiro One Wellness Center of Woodridge LLC Chiropractor PastSince Feb 24, 2012 Accepting new patients
Chiro One Wellness Center of Plano PLLC Chiropractor Past Accepting new patients
Naperville Rehab and Medical Clinic PC PastSince Nov 1, 2020 Accepting new patients

Locations

1320 N Route 59
Ste 164
Naperville, IL 60563
Phone (630) 453-7527

55 S Main St
Ste 294
Naperville, IL 60540
Phone (630) 428-2000

Organizations & group practices 8

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1992848154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "630-468-1824",
            "fax_number": "630-701-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 MADISON ST",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301764",
            "telephone_number": "708-405-6980",
            "fax_number": "708-405-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWALJI",
        "first_name": "TUSHAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11969",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.