NPIMap

Organization Active NPI

Elm Chiropractic Fitness Clinic

  • Chiropractor
  • Elmhurst, IL
National Provider Identifier
1013119361
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
060.004963 Issued in IL
Legal business name
ELM CHIROPRACTIC FITNESS CLINIC
Practice address
475 S Spring Rd
Elmhurst, IL 60126-3857
Phone
(630) 530-4744
NPI assigned
May 31, 2007
Last updated
Mar 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Dr. Anna Lillian Doyle, D.C.NPI 1740298835
Title
Owner
Phone
(630) 530-4744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 060.004963 IL Primary

Addresses

Primary practice location

475 S Spring Rd
Elmhurst, IL 60126-3857

Mailing address

475 S Spring Rd
Elmhurst, IL 60126-3857
Phone (630) 530-4744

Other identifiers 1

IdentifierTypeStateIssuer
22-90113OtherILPROVIDER NUMBER BLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1013119361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 S SPRING RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263857",
            "telephone_number": "630-530-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S SPRING RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263857",
            "telephone_number": "630-530-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM CHIROPRACTIC FITNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "LILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-530-4744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "060.004963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER BLUE CROSS BLUE SHIELD",
            "identifier": "22-90113",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.