Organization Active NPI

Carlson Chiropractic LTD

  • Chiropractor
  • Lake Zurich, IL
National Provider Identifier
1013132828
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007535 Issued in IL
Legal business name
CARLSON CHIROPRACTIC LTD
Practice address
23885 N Overhill Dr
Lake Zurich, IL 60047-8875
Phone
(847) 808-9696
Fax
(847) 808-9763
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Dr. Cynthia M Carlson, DCNPI 1265657076
Title
President
Phone
(847) 808-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038007535 IL Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X0077691 NY
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2963 WI
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC005347L PA

Addresses

Primary practice location

23885 N Overhill Dr
Lake Zurich, IL 60047-8875

Mailing address

23885 N Overhill Dr
Lake Zurich, IL 60047-8875
Phone (847) 808-9696

Other identifiers 1

IdentifierTypeStateIssuer
01606934OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090107000093 IL Part B Supplier - Clinic/Group Practice 8527121235 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Zurich, IL

National Provider Directory

National Provider Directory

Locations

400 W Dundee Rd
Ste 13
Buffalo Grove, IL 60089

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1013132828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23885 N OVERHILL DR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600478875",
            "telephone_number": "847-808-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23885 N OVERHILL DR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600478875",
            "telephone_number": "847-808-9696",
            "fax_number": "847-808-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSON CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-808-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007535",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0077691",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2963",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005347L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01606934",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.