NPIMap

Organization Active NPI

My Absolute Body Inc

  • Neurology Chiropractor
  • Arlington Heights, IL
National Provider Identifier
1013535764
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
MY ABSOLUTE BODY INC
Practice address
1655 N Arlington Heights Rd Ste 101W
Arlington Heights, IL 60004-3976
Phone
(847) 870-8955
Fax
(847) 770-4458
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Dr. Dimitry Likterev, DC
Title
Pres
Phone
(847) 414-3517

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

1655 N Arlington Heights Rd Ste 101W
Arlington Heights, IL 60004-3976

Mailing address

PO Box 4901
Buffalo Grove, IL 60089-4901
Phone (847) 870-8955

National Provider Directory

National Provider Directory

Locations

1655 N Arlington Heights Rd
Ste 101W
Arlington Heights, IL 60004
Phone (847) 305-3610

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1013535764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4901",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894901",
            "telephone_number": "847-870-8955",
            "fax_number": "847-770-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD STE 101W",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043976",
            "telephone_number": "847-870-8955",
            "fax_number": "847-770-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ABSOLUTE BODY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "LIKTEREV",
        "authorized_official_first_name": "DR. DIMITRY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "847-414-3517",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.