FAMILY TREE CHIROPRACTIC INC
NPI 1629455977
Chiropractor in Park Ridge, IL
About Family Tree Chiropractic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY TREE CHIROPRACTIC INC (NPI 1629455977) is a healthcare organization registered as a chiropractor in Park Ridge, Illinois and active in the NPI registry since May 2015. The organization lists Whitney Leigh Fandel, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 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)
Family Tree Chiropractic Inc 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 Family Tree Chiropractic Inc, 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 Family Tree Chiropractic Inc's NPI number?
The NPI number for Family Tree Chiropractic Inc is 1629455977. It was assigned to this organization in the NPPES registry on May 6, 2015.
Where is Family Tree Chiropractic Inc located?
Family Tree Chiropractic Inc is located at 1440 Renaissance Dr Suite 120, Park Ridge, IL 60068. The listed phone number is (847) 403-1101.
What is Family Tree Chiropractic Inc's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Family Tree Chiropractic Inc enrolled in Medicare?
Yes. Family Tree Chiropractic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Tree Chiropractic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Family Tree Chiropractic Inc. 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 Family Tree Chiropractic Inc was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Family Tree Chiropractic Inc · NPI 1629455977
Chiropractor organization in Park Ridge, Illinois. Organization record, active in the CMS NPPES registry since May 6, 2015.
## Identity
- **NPI:** 1629455977 (Entity type: Organization)
- **Enumerated:** May 6, 2015
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Whitney Fandel, OWNER
## Practice location
- **Address:** 1440 RENAISSANCE DR, SUITE 120, Park Ridge, IL 60068-1356
- **Phone:** (847) 403-1101
## 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:** September 1, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1629455977) · Data from the CMS NPPES public registry.