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DR. JOHN T PATENAUDE DC
NPI 1871660548
Chiropractor in Beach Park, IL

Active since November 29, 2006
11316 W WADSWORTH RD, BEACH PARK, IL 60099(847) 872-3456(847) 872-3557 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. John T Patenaude Dc NPPES

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

DR. JOHN T PATENAUDE DC (NPI 1871660548) is an individual chiropractor in Beach Park, Illinois and active in the NPI registry since November 2006. He is a graduate of Palmer College Chiropractic - Davenport (1996).

NPPES Registry Identity

NPI1871660548
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN T PATENAUDECredential: DC
Location Address11316 W WADSWORTH RDBeach Park, IL 60099-1626
Mailing Address11316 W Wadsworth RdBeach Park, IL 60099-1626 · (847) 872-3456 · Fax (847) 872-3557
Phone(847) 872-3456
Fax(847) 872-3557
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1996
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871660548 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.
11316 W WADSWORTH RD, Beach Park, IL 60099
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Other Identifiers 2

Other04982017IL · Bcbs
Medicare ID-Type UnspecifiedL81997IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John T Patenaude Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012934417
PECOS Enrollment IDI20051025001027

Medicare Billing Reassignment

Medicare enrollment records show John Patenaude reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr John T Patenaude & Dr David P Picchietti Sc
Same address
Chiropractor
11316 W WADSWORTH ROAD
Beach Park, IL 60099
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1205963659 (847) 872-3456

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
316 services40 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
202 services39 patients

Other Providers at the Same Location NPPES 4

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

TAYSEER A IBRAHIM DDS PC
Dentist
11316 W WADSWORTH RD
BEACH PARK, IL 60099
Lake County (847) 872-5530
MAVES MEDICAL LTD
Surgery
11316 W WADSWORTH RD
BEACH PARK, IL 60099
Lake County (847) 731-9663
TAYSEER AHMED IBRAHIM
Dentist (General Practice)
11316 W WADSWORTH RD
BEACH PARK, IL 60099
Lake County (847) 872-5530
DR. JONATHON EUGENE LARSON ED.D., CRC, LCPC
Counselor (Professional)
11316 W WADSWORTH RD, SUITE 102
BEACH PARK, IL 60099
Lake County (224) 216-0095

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 John Patenaude's NPI number?

The NPI number for John Patenaude is 1871660548. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is John Patenaude located?

John Patenaude practices at 11316 W Wadsworth Rd, Beach Park, IL 60099. The listed phone number is (847) 872-3456.

What is John Patenaude's specialty?

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

Is John Patenaude enrolled in Medicare?

Yes. John Patenaude is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Patenaude's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Patenaude reassigns Medicare benefits to Dr John T Patenaude & Dr David P Picchietti Sc (Beach Park, IL). The 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 John Patenaude's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Patenaude 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.