DR. GLEN T MATEJKA DN DC DACBN CCN
NPI 1366404568
Chiropractor in Crystal Lake, IL

Active since April 04, 2006Accepts Medicare Assignment
7105 VIRGINIA RD, SUITE 15, CRYSTAL LAKE, IL 60014(815) 455-4500(815) 455-4529 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Glen T Matejka Dn Dc Dacbn Ccn NPPES

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

DR. GLEN T MATEJKA DN DC DACBN CCN (NPI 1366404568) is an individual chiropractor in Crystal Lake, Illinois, licensed in Illinois (038007434) and active in the NPI registry since April 2006. He is a graduate of National College Of Chiropractic (1985).

NPPES Registry Identity

NPI1366404568
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GLEN T MATEJKACredential: DN DC DACBN CCN
Location Address7105 VIRGINIA RD, SUITE 15Crystal Lake, IL 60014-7985
Mailing Address7105 Virginia Rd, Suite 15Crystal Lake, IL 60014-7985 · (815) 455-4500 · Fax (815) 455-4529
Fax(815) 455-4529
Sole ProprietorYes
Medical School CMSNational College Of ChiropracticGraduated 1985
Enumeration DateApril 4, 2006
Last NPPES UpdateMay 29, 2008
NPI 1366404568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038007434
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.

Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License 164003999 (IL)
7105 VIRGINIA RD, Crystal Lake, IL 60014

Other Identifiers 3

Medicare ID-Type Unspecified341520IL
Other05605168IL · Bcbs Il
Medicare UPINU48742

Accepted 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. Glen T Matejka Dn Dc Dacbn Ccn 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 ID3870674484
PECOS Enrollment IDI20080121000107

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Physical Therapy)
7105 VIRGINIA RD, SUITE 10
CRYSTAL LAKE, IL 60014
Chiropractor
7105 VIRGINIA RD, ST 24
CRYSTAL LAKE, IL 60014
Home Health
7105 VIRGINIA RD, STE 10
CRYSTAL LAKE, IL 60014

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 Glen Matejka's NPI number?

The NPI number for Glen Matejka is 1366404568. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Glen Matejka located?

Glen Matejka practices at 7105 Virginia Rd Suite 15, Crystal Lake, IL 60014. The listed phone number is (815) 455-4500.

What is Glen Matejka's specialty?

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

Is Glen Matejka enrolled in Medicare?

Yes. Glen Matejka 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 Glen Matejka accept?

Health plans from Providence Health Plan list Glen Matejka 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 Glen Matejka was last updated on May 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.