PREMIER CHIROPRACTIC CENTER, LTD
NPI 1336156280
Chiropractor in Grayslake, IL
About Premier Chiropractic Center, Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER CHIROPRACTIC CENTER, LTD (NPI 1336156280) is a healthcare organization registered as a chiropractor in Grayslake, Illinois and active in the NPI registry since August 2006. The organization lists John Nolan Bouma, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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 Chiropractic Center, Ltd 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 Chiropractic Center, Ltd, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Chiropractic Center, Ltd's NPI number?
The NPI number for Premier Chiropractic Center, Ltd is 1336156280. It was assigned to this organization in the NPPES registry on August 2, 2006.
Where is Premier Chiropractic Center, Ltd located?
Premier Chiropractic Center, Ltd is located at 419 Center St Suite B, Grayslake, IL 60030. The listed phone number is (847) 543-1055.
What is Premier Chiropractic Center, Ltd's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Premier Chiropractic Center, Ltd enrolled in Medicare?
Yes. Premier Chiropractic Center, Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premier Chiropractic Center, Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Premier Chiropractic Center, Ltd. 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 Chiropractic Center, Ltd was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Premier Chiropractic Center, Ltd · NPI 1336156280
Chiropractor organization in Grayslake, Illinois. Organization record, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1336156280 (Entity type: Organization)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** John Bouma, PHYSICIAN
## Practice location
- **Address:** 419 CENTER ST, SUITE B, Grayslake, IL 60030-1625
- **Phone:** (847) 543-1055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2008
- **Other identifiers:** Medicare PIN 581160 (IL); Other 4926003 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1336156280) · Data from the CMS NPPES public registry.