Individual provider Active NPI

Ira Scott Chislof, DC

  • Chiropractor
  • Niles, IL
National Provider Identifier
1992896203
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038004506 Issued in IL
Practice address
7329 N Harlem Ave
Niles, IL 60714-4252
Phone
(847) 588-0800
Fax
(847) 588-8011
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038004506 IL Primary

Addresses

Primary practice location

7329 N Harlem Ave
Niles, IL 60714-4252

Mailing address

7329 N Harlem Avene
Niles, IL 60714-4252
Phone (847) 588-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080505000329 IL Practitioner - Chiropractic 7012096951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7329 N Harlem Ave
Niles, IL 60714-4252
Phone (847) 588-0800

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
038004506ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chislof Chiropractic Center, P.C. Chiropractor CurrentSince May 15, 1982 Accepting new patients

Locations

7329 N Harlem Ave
Niles, IL 60714
Phone (847) 588-0800

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1992896203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 N HARLEM AVENE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144252",
            "telephone_number": "847-588-0800",
            "fax_number": "847-588-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 N HARLEM AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144252",
            "telephone_number": "847-588-0800",
            "fax_number": "847-588-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISLOF",
        "first_name": "IRA",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.