GANDOLFI PHYSICAL MEDICINE, LLC
NPI 1295440048
Chiropractor - Sports Physician in Mundelein, IL

NPI Status: Active since January 17, 2023

Contact Information

300 TOWNLINE RD
MUNDELEIN, IL
ZIP 60060
Phone: (224) 778-0846

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  • Organization
  • Chiropractor
  • Sports Physician
  • Accepts Insurance

About GANDOLFI PHYSICAL MEDICINE, LLC

This page provides the complete NPI Profile along with additional information for Gandolfi Physical Medicine, Llc, a provider established in Mundelein, Illinois operating as a Chiropractor, focusing in sports physician . The healthcare provider is registered in the NPI registry with number 1295440048 assigned on January 2023. The practitioner's primary taxonomy code is 111NS0005X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Charles Gandolfi Iii Dc (Owner)

NPI
1295440048
Provider Name
GANDOLFI PHYSICAL MEDICINE, LLC
Entity Type
Organization
Location Address
300 TOWNLINE RD MUNDELEIN, IL 60060
Location Phone
(224) 778-0846
Mailing Address
300 TOWNLINE RD MUNDELEIN, IL 60060
Mailing Phone
(224) 778-0846
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2023
Last Update Date
01-17-2023
Code Navigator

A chiropractor like Gandolfi Physical Medicine, Llc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Secondary Locations

  • 450 N Seymour Ave
    Mundelein, IL 60060
    (224) 778-0846

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor Sports Physician

Taxonomy Code
111NS0005X
Type
Chiropractic Providers
Taxonomy Description
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHARLES GANDOLFI III DC

Authorized Official Title
OWNER
Authorized Official Phone
(847) 463-0806

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295440048
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2218584008
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 8 + 4 + 0 + 0 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1295440048 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295440048, enumerated in the NPI registry as an "organization" on January 17, 2023

The provider is located at 300 Townline Rd Mundelein, Il 60060 and the phone number is (224) 778-0846

This medical organization specializes in Chiropractor with taxonomy code 111NS0005X with a focus in Sports Physician

The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 17, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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