JONATHAN THAO DC
NPI 1922807098
Chiropractor in St Charles, IL

Active since March 11, 2025Accepts Medicare Assignment
962 S RANDALL RD STE F, ST CHARLES, IL 60174(630) 523-0504 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Thao Dc NPPES

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

JONATHAN THAO DC (NPI 1922807098) is an individual chiropractor in St Charles, Illinois, licensed in Illinois (038.014155) and active in the NPI registry since March 2025. He is a graduate of Northwestern College Of Chiropractic (2023).

NPPES Registry Identity

NPI1922807098
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJONATHAN THAOCredential: DC
Location Address962 S RANDALL RD STE FSt Charles, IL 60174-1572
Mailing Address2625 Butterfield Rd Ste 301nOak Brook, IL 60523-1266 · (630) 468-1824
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2023
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
NPI 1922807098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038.014155
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.
962 S RANDALL RD STE F, St Charles, IL 60174

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

Jonathan Thao Dc 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 ID9638691934
PECOS Enrollment IDI20250317000609

Other Providers at the Same Location NPPES

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

Chiropractor
962 S RANDALL RD STE F
ST CHARLES, IL 60174

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 Jonathan Thao's NPI number?

The NPI number for Jonathan Thao is 1922807098. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Jonathan Thao located?

Jonathan Thao practices at 962 S Randall Rd Ste F, St Charles, IL 60174. The listed phone number is (630) 523-0504.

What is Jonathan Thao's specialty?

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

Is Jonathan Thao enrolled in Medicare?

Yes. Jonathan Thao 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.

When was this NPI record last updated?

The NPPES record for Jonathan Thao was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.