DR. DAVID JOLLY (DC) – Chiropractor, NPI 1962045658

DR. DAVID JOLLY (DC) is a healthcare provider. based in Niles, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 038.013455 (IL). The NPI Number for DR. DAVID JOLLY (DC) is 1962045658

Main info

Male
7 Years Of Experience
Name
DR. DAVID JOLLY (DC)
NPI
1962045658
Phone
(847) 877-8679
Address
8542 W Betty Ter
Enumeration Date
24 October 2019
Last Update Date
28 April 2020

Doctor Profile

Medical School Name
NATIONAL COLLEGE OF CHIROPRACTIC
Secondary Phone
8473677131
Graduation Year
2019 (7 years ago)
PAC ID
4688014236
Group Practice PAC ID
0244280840
Professional Enrollment ID
I20240430000313
Address ID
IL600485000LI700XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

Provider Addresses for DR. DAVID JOLLY (DC)

  • 8542 W Betty Ter

    Niles, IL 607141833

    Phone: (847) 877-8679

    Type: Location

  • 8542, West Betty Terrace, Niles, Cook County, Illinois, 60714, United States

    NILES, IL 607141833

    Phone:

    Type: Mailing

  • Tesla Service Center, 1200, Old Skokie Valley Road, Briergate Station, Highland Park, Lake County, Illinois, 60035, United States

    HIGHLAND PARK, IL 600353036

    Phone: (847) 748-8804

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240430000313IChiropracticILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60714)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244280840View full group profile
NameSpecialtyState
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

Is DR. DAVID JOLLY (DC) listed with a National Provider Identifier?
Yes — DR. DAVID JOLLY (DC) has NPI 1962045658 on file in the registry.
Is DR. DAVID JOLLY (DC) still an active registrant?
DR. DAVID JOLLY (DC) carries an active NPI according to the public dataset.
How would a patient describe DR. DAVID JOLLY (DC)'s focus?
For DR. DAVID JOLLY (DC), the primary taxonomy reads as Chiropractor. Clinical services aligned with this taxonomy classification.
Is DR. DAVID JOLLY (DC) associated with Niles?
Public fields place DR. DAVID JOLLY (DC) around Niles, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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