Old Town Chiropractic Center PC
NPI 1689712804ActiveOrganization· Chiropractor· Bloomingdale, IL
Chiropractor in Bloomingdale, Illinois, registered in NPPES in February 2007. The authorized official on file is Michael David Kelly, D.C., Chiropractic Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689712804 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 1, 2007 |
| Last updated in NPPES | May 23, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 038006619 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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