Anthony M Pirie, D.C.
Individual provider Active NPI Chiropractor · Joliet, IL
NPI 1992884670 · NPPES record last updated Jan 24, 2017
Key facts
- NPI
- 1992884670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038-009041 (IL)
- Practice address
- 1011 Essing Rd
Joliet, IL 60435-2869 - Phone
- (815) 725-8345
- Fax
- (815) 725-8310
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090422000595 | IL | Practitioner - Chiropractic | 5991853384 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009041 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Rehabilitation Institute Braidwood LLC | Chiropractor | Current |
Accepting new patients |
| Elite Rehabilitaion Institue LLC | Chiropractor | Past |
Accepting new patients |
| Elite Rehab Addison LLC | Chiropractor | Past |
Accepting new patients |
| Gentle Hands Chiropractic, PC | Chiropractor | Past |
Accepting new patients |
Locations
180 E Main St
Braidwood, IL 60408
Phone (815) 458-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009041 | IL | Yes |
Addresses
Primary practice location
1011 Essing Rd
Joliet, IL 60435-2869
Mailing address
1011 Essington Rd
Joliet, IL 60435-2869
Phone (815) 725-8345
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.