Family Care Chiropractic Center of New Lenox PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-005723 Issued in IL

Legal business name

FAMILY CARE CHIROPRACTIC CENTER OF NEW LENOX PC

Practice address

2571 E Lincoln Hwy
Suite 1
New Lenox, IL 60451-9529

Phone

(815) 463-1130

Fax

(815) 463-1150

NPI assigned

Mar 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Byron Derrik Schultz, BS, BS, DC

Title

President

Phone

(815) 463-1130

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1003948480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 E LINCOLN HWY",
            "address_2": "SUITE 1",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519529",
            "telephone_number": "815-463-1130",
            "fax_number": "815-463-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 E LINCOLN HWY",
            "address_2": "SUITE 1",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519529",
            "telephone_number": "815-463-1130",
            "fax_number": "815-463-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CHIROPRACTIC CENTER OF NEW LENOX PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "DERRIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-463-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS, BS, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-005723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in New Lenox, IL
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• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.