BOURDAGE CHIROPRACTIC, SC – Chiropractor, NPI 1689728701

BOURDAGE CHIROPRACTIC, SC is a healthcare provider. based in Lincolnwood, Illinois. specializing in Chiropractor. The organization holds a License No. 038-010680 (IL). The NPI Number for BOURDAGE CHIROPRACTIC, SC is 1689728701

Main info

Organization
Name
BOURDAGE CHIROPRACTIC, SC
NPI
1689728701
Phone
(773) 545-9379
Address
6443 N CICERO AVE
Authorized Official
DR. STEVEN ROBERT BOURDAGE PRESIDENT DC
Enumeration Date
23 January 2007
Last Update Date
6 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for BOURDAGE CHIROPRACTIC, SC

  • 6443 N CICERO AVE

    LINCOLNWOOD, IL 607123407

    Phone: (773) 545-9379

    Fax: (773) 545-9372

    Type: Mailing

  • 6015, North Cicero Avenue, Forest Glen, Chicago, Jefferson Township, Cook County, Illinois, 60646, United States

    CHICAGO, IL 606464301

    Phone: (773) 545-9379

    Type: Mailing

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: 2007-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-09-30 (616 days ago).

Enrollment records

1

Earliest due date

2024-09-30

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
O20070216000071OClinic/Group PracticeIL2024-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 60712)

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Reviews

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Frequently asked questions

How do payers reference BOURDAGE CHIROPRACTIC, SC?
For BOURDAGE CHIROPRACTIC, SC, use NPI 1689728701 as the unique 10-digit identifier.
Is BOURDAGE CHIROPRACTIC, SC still an active registrant?
BOURDAGE CHIROPRACTIC, SC carries an active NPI according to the public dataset.
What kind of doctor is BOURDAGE CHIROPRACTIC, SC?
BOURDAGE CHIROPRACTIC, SC is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with BOURDAGE CHIROPRACTIC, SC?
Directory geography for BOURDAGE CHIROPRACTIC, SC centers on Lincolnwood, Illinois.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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