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MR. CARL J DESTEFANO DC
NPI 1710989389
Chiropractor in Geneva, IL

Active since August 12, 2005
65 N RIVER LN, BLDG C # 207, GENEVA, IL 60134(630) 208-7760(630) 208-7672 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Carl J Destefano Dc NPPES

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

MR. CARL J DESTEFANO DC (NPI 1710989389) is an individual chiropractor in Geneva, Illinois and active in the NPI registry since August 2005. He is a graduate of National University Of Arts And Sciences, Medical Department (1984).

NPPES Registry Identity

NPI1710989389
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. CARL J DESTEFANOCredential: DC
Location Address65 N RIVER LN, BLDG C # 207Geneva, IL 60134-4519
Mailing Address65 N River Ln, Bldg C # 207Geneva, IL 60134-4519 · (630) 208-7760 · Fax (630) 208-7672
Phone(630) 208-7760
Fax(630) 208-7672
Sole ProprietorNo
Medical School CMSNational University Of Arts And Sciences, Medical DepartmentGraduated 1984
Enumeration DateAugust 12, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710989389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
65 N RIVER LN, Geneva, IL 60134
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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 (PECOS)

Mr. Carl J Destefano Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022270768
PECOS Enrollment IDI20120425000762

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.
339 services45 patients

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.

RYAN BAKOSH D.C.
Chiropractor
65 N RIVER LN, STE 207
GENEVA, IL 60134
Kane County (630) 492-0490
LOCAL HEALING CENTER
Clinic/Center
65 N RIVER LN, STE 207
GENEVA, IL 60134
Kane County (630) 492-0490
DR. TIMOTHY JAMES WAHLBERG PH.D.
Psychologist (Clinical Child & Adolescent)
65 N RIVER LN, SUITE 204
GENEVA, IL 60134
Kane County (630) 845-9644

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 Carl Destefano's NPI number?

The NPI number for Carl Destefano is 1710989389. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Carl Destefano located?

Carl Destefano practices at 65 N River Ln Bldg C # 207, Geneva, IL 60134. The listed phone number is (630) 208-7760.

What is Carl Destefano's specialty?

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

Is Carl Destefano enrolled in Medicare?

Yes. Carl Destefano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carl Destefano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.