PREMIER CHIRO PC
NPI 1144457359
Chiropractor in Chicago, IL

Active since June 15, 2009
4353 S KEDZIE AVE, CHICAGO, IL 60632(773) 927-1885(773) 927-1886 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Premier Chiro Pc NPPES

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

PREMIER CHIRO PC (NPI 1144457359) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since June 2009. The organization lists Ronald Waxman, Owner, as its authorized official.

NPPES Registry Identity

NPI1144457359
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePREMIER CHIRO PC
Location Address4353 S KEDZIE AVEChicago, IL 60632-2841
Mailing Address809 E Washington St, Suite 204Phoenix, AZ 85034-1052 · (602) 321-7049 · Fax (602) 253-0457
Fax(773) 927-1886
Organization SubpartNo
Authorized OfficialRonald WaxmanOwner · (602) 515-1068
Enumeration DateJune 15, 2009
Last NPPES UpdateFebruary 16, 2011
✔ NPI 1144457359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
4353 S KEDZIE AVE, Chicago, IL 60632

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)

Premier Chiro Pc 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 Premier Chiro PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1932103496
125 W MCDOWELL RD STE B
Phoenix, AZ 85003
(602) 253-8823
✔ Accepts Medicare1,449 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 Premier Chiro PC's NPI number?

The NPI number for Premier Chiro PC is 1144457359. It was assigned to this organization in the NPPES registry on June 15, 2009.

Where is Premier Chiro PC located?

Premier Chiro PC is located at 4353 S Kedzie Ave, Chicago, IL 60632. The listed phone number is (773) 927-1885.

What is Premier Chiro PC's specialty?

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

Is Premier Chiro PC enrolled in Medicare?

Yes. Premier Chiro PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Chiro PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Premier Chiro PC. 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 Premier Chiro PC was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.