NORTHLAKE CHIROPRACTIC INC.
NPI 1083964977
Chiropractor in Northlake, IL

Active since September 18, 2012
157 E NORTH AVE, NORTHLAKE, IL 60164(708) 562-9980(708) 562-9983 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northlake Chiropractic Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHLAKE CHIROPRACTIC INC. (NPI 1083964977) is a healthcare organization registered as a chiropractor in Northlake, Illinois and active in the NPI registry since September 2012. The organization lists Garrett Klein, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1083964977
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameNORTHLAKE CHIROPRACTIC INC.
Location Address157 E NORTH AVENorthlake, IL 60164-2523
Mailing Address157 E North AveNorthlake, IL 60164-2523 · (708) 562-9980 · Fax (708) 562-9983
Fax(708) 562-9983
Organization SubpartNo
Authorized OfficialGarrett KleinChiropractor · (708) 562-9980
Enumeration DateSeptember 18, 2012
Last NPPES UpdateJune 23, 2016
✔ NPI 1083964977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038011642
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
157 E NORTH AVE, Northlake, IL 60164

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northlake Chiropractic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northlake Chiropractic Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1679864763
157 E NORTH AVE
Northlake, IL 60164
(708) 562-9980
✔ Accepts Medicare1.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northlake Chiropractic Inc.'s NPI number?

The NPI number for Northlake Chiropractic Inc. is 1083964977. It was assigned to this organization in the NPPES registry on September 18, 2012.

Where is Northlake Chiropractic Inc. located?

Northlake Chiropractic Inc. is located at 157 E North Ave, Northlake, IL 60164. The listed phone number is (708) 562-9980.

What is Northlake Chiropractic Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Northlake Chiropractic Inc. enrolled in Medicare?

Yes. Northlake Chiropractic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northlake Chiropractic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Northlake Chiropractic Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northlake Chiropractic Inc. was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.