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DR. JONATHAN WILLIAM BULLOCK D.C.
NPI 1114015815
Chiropractor in Mokena, IL

Active since October 10, 2006Accepts Medicare Assignment
19600 LA GRANGE RD, MOKENA, IL 60448(708) 478-3000 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan William Bullock D.c. NPPES

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

DR. JONATHAN WILLIAM BULLOCK D.C. (NPI 1114015815) is an individual chiropractor in Mokena, Illinois, licensed in Illinois (038-009659) and active in the NPI registry since October 2006. He is a graduate of Palmer College Chiropractic - Davenport (2002).

NPPES Registry Identity

NPI1114015815
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JONATHAN WILLIAM BULLOCKCredential: D.C.
Location Address19600 LA GRANGE RDMokena, IL 60448-9321
Mailing Address19600 La Grange RdMokena, IL 60448-9321 · (708) 478-3000
Phone(708) 478-3000
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2002
Enumeration DateOctober 10, 2006
Last NPPES UpdateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1114015815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-009659
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.
19600 LA GRANGE RD, Mokena, IL 60448
Open in Google Maps ↗

Other Identifiers 1

Other02232796IL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan William Bullock D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335166750
PECOS Enrollment IDI20051025000958

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANKFORT CHIROPRACTIC CLINIC
Chiropractor
19600 LA GRANGE RD
MOKENA, IL 60448
Will County (708) 478-3000
FRANKFORT CHIROPRACTIC CLINIC, P.C.
Chiropractor
19600 LA GRANGE RD
MOKENA, IL 60448
Will County (708) 478-3000
PAULETTE J JARKE
Massage Therapist
19600 LA GRANGE RD
MOKENA, IL 60448
Will County (708) 478-3000
KRYSTAL WILSON
Chiropractor (Orthopedic)
19600 LA GRANGE RD
MOKENA, IL 60448
Will County (708) 478-3000
FRANKFORT SPINAL REHABILITATION & PHYSICAL THERAPY INC
Chiropractor (Orthopedic)
19600 LA GRANGE RD
MOKENA, IL 60448
Will County (708) 478-3000
MR. IGNACIO CHAN TALOSIG PHYSICAL THERAPIST
Physical Therapist
19600 LA GRANGE RD
MOKENA, IL 60448
Will County (708) 478-3000
DR. GLEN JOHN NISIVOCCIA D C
Chiropractor
19600 LA GRANGE RD
MOKENA, IL 60448
Will County (708) 478-3000
ANNE KRATOCHVIL
Massage Therapist
19600 LA GRANGE RD
MOKENA, IL 60448
Will County (708) 478-3000

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 Jonathan Bullock's NPI number?

The NPI number for Jonathan Bullock is 1114015815. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Jonathan Bullock located?

Jonathan Bullock practices at 19600 La Grange Rd, Mokena, IL 60448. The listed phone number is (708) 478-3000.

What is Jonathan Bullock's specialty?

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

Is Jonathan Bullock enrolled in Medicare?

Yes. Jonathan Bullock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jonathan Bullock accept?

Health plans from Providence Health Plan list Jonathan Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Bullock was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.