GREGORY DECLARK D.C.
NPI 1699288837
Chiropractor in Elmhurst, IL

Q: What is Gregory Declark's NPI number?

The NPI number for Gregory Declark is 1699288837. It was assigned to this individual provider in the NPPES registry on November 9, 2017.

Q: What is Gregory Declark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gregory Declark was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 09, 2017Accepts Medicare Assignment

477 S SPRING RD, ELMHURST, IL 60126(630) 530-0506 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2019, Nov 9, 2017 (2 updates tracked since 2017).

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About Gregory Declark D.c. NPPES

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

GREGORY DECLARK D.C. (NPI 1699288837) is an individual chiropractor in Elmhurst, Illinois, licensed in Illinois (038.013094) and active in the NPI registry since November 2017. He is a graduate of Palmer College Chiropractic - Davenport (2016).

NPPES Registry Identity

NPI1699288837

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameGREGORY DECLARKCredential: D.C.

Location Address477 S SPRING RDElmhurst, IL 60126-3857

Mailing Address477 S Spring RdElmhurst, IL 60126-3857

Phone(630) 530-0506

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2016

Enumeration DateNovember 9, 2017

Last NPPES UpdateJuly 1, 20192 updates tracked since enumeration

✔ NPI 1699288837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038.013094

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.

477 S SPRING RD, Elmhurst, IL 60126

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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

Gregory Declark D.c. 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 ID3577896984

PECOS Enrollment IDI20190617002304

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

169 services11 patients

Other Providers at the Same Location NPPES 6

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

RUSSELL HEALTH AND WELLNESS CENTER, SC

Chiropractor