JERRY BRIAN VINCENT JR. DC
NPI 1215786835
Chiropractor in Wood Dale, IL

Active since May 15, 2024Accepts Medicare Assignment
199 S ADDISON RD STE 106, WOOD DALE, IL 60191(630) 766-1552 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry Brian Vincent Jr. Dc NPPES

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

JERRY BRIAN VINCENT JR. DC (NPI 1215786835) is an individual chiropractor in Wood Dale, Illinois, licensed in Illinois (038.014151) and active in the NPI registry since May 2024. He is a graduate of Life Chiropractic College (2024).

NPPES Registry Identity

NPI1215786835
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJERRY BRIAN VINCENT JR.Credential: DC
Location Address199 S ADDISON RD STE 106Wood Dale, IL 60191-1978
Mailing Address780 E Irving Park Rd Ste 2wRoselle, IL 60172-4343 · (706) 728-5109
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2024
Enumeration DateMay 15, 2024
Last NPPES UpdateMay 16, 2024
NPPES CertifiedMay 16, 2024
NPI 1215786835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038.014151
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.

199 S ADDISON RD STE 106, Wood Dale, IL 60191

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

Jerry Brian Vincent Jr. Dc 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 ID4688116841
PECOS Enrollment IDI20240604001684

Other Providers at the Same Location NPPES 5

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

Chiropractor (Nutrition)
199 S ADDISON RD STE 106
WOOD DALE, IL 60191
Chiropractor (Neurology)
199 S ADDISON RD STE 106
WOOD DALE, IL 60191
Chiropractor (Neurology)
199 S ADDISON RD STE 106
WOOD DALE, IL 60191
Chiropractor (Neurology)
199 S ADDISON RD STE 106
WOOD DALE, IL 60191
Chiropractor
199 S ADDISON RD STE 106
WOOD DALE, IL 60191

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 Jerry Vincent's NPI number?

The NPI number for Jerry Vincent is 1215786835. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Jerry Vincent located?

Jerry Vincent practices at 199 S Addison Rd Ste 106, Wood Dale, IL 60191. The listed phone number is (630) 766-1552.

What is Jerry Vincent's specialty?

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

Is Jerry Vincent enrolled in Medicare?

Yes. Jerry Vincent 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.

When was this NPI record last updated?

The NPPES record for Jerry Vincent was last updated on May 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.