Active NPI
Lori Renee' Foster, D.C.
- Chiropractor
- Bourbonnais, IL
National Provider Identifier
1992883839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 588 William R Latham Sr Dr
Suit 5
Bourbonnais, IL 60914-2326 - Phone
- (815) 932-7800
- Fax
- (815) 932-7806
- NPI assigned
- Nov 1, 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 | IL | Primary |
Addresses
Primary practice location
588 William R Latham Sr Dr
Suit 5
Bourbonnais, IL 60914-2326
Mailing address
588 William R Latham Sr Dr
Suit 5
Bourbonnais, IL 60914-2326
Phone (815) 932-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04632068 | Other | IL | BC/BC OF ILLINOIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
215 E N St
Bradley, IL 60915-1269
Phone (815) 932-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-007512 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foster Chiropractic S.C | Chiropractor | Current | Accepting new patients |
Locations
588 Wm Latham Dr
Ste 5
Bourbonnais, IL 60914
Phone (815) 932-7800
215 E North St
Bradley, IL 60915
Phone (815) 932-7800
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.
-
- Chiropractor
- Bourbonnais, IL
- NPI 1295941342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1992883839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 WILLIAM R LATHAM SR DR",
"address_2": "SUIT 5",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609142326",
"telephone_number": "815-932-7800",
"fax_number": "815-932-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "588 WILLIAM R LATHAM SR DR",
"address_2": "SUIT 5",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609142326",
"telephone_number": "815-932-7800",
"fax_number": "815-932-7806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "LORI",
"middle_name": "RENEE'",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BC OF ILLINOIS",
"identifier": "04632068",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.