Vanfossen Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VANFOSSEN CHIROPRACTIC PC

Practice address

55 Turner Ave
Elk Grove Village, IL 60007-3930

Phone

(847) 439-2954

NPI assigned

Apr 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michele Vanfossen, DCNPI 1770680712

Title

VP

Phone

(847) 439-2954

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel E Vanfossen, DC

  • Chiropractor
  • Elk Grove Village, IL
  • NPI 1164529103
  Medicare reassignment NPD
• Michele A Vanfossen, DC

  • Chiropractor
  • Elk Grove Village, IL
  • NPI 1770680712
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003034315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TURNER AVE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TURNER AVE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073930",
            "telephone_number": "847-439-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANFOSSEN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANFOSSEN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "847-439-2954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1630228",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larissa Valentino
• Donald D. Van Lier, R.PH.
• Allison Claire Van Staalduinen
• Mary Vance, APN
• London Vanderbilt
• Daniel E Vanfossen, DC
• Michele A Vanfossen, DC
• Vanguard Health Solutions LLC
• Conrad Grant Vanhazebroeck, D.O.
• Virginia Vazquez

• Chiropractor in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.