Organization Active NPI

Eyles Chiropractic, PC

  • Chiropractor
  • Lake in the Hills, IL
National Provider Identifier
1023650199
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EYLES CHIROPRACTIC, PC
Practice address
4614 W Algonquin Rd
Lake in the Hills, IL 60156-6722
Phone
(224) 333-0711
Fax
(224) 333-0579
NPI assigned
Oct 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Dr. Elizabeth Eyles, DCNPI 1598103483
Title
President
Phone
(224) 333-0071

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4614 W Algonquin Rd
Lake in the Hills, IL 60156-6722

Mailing address

4614 W Algonquin Rd
Lake in the Hills, IL 60156-6722
Phone (224) 333-0711

Other names 2

  • Eyles Chiropractic, P.C. Former legal business name
  • Lake in the Hills Family Chiropractic, PC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200416001044 IL Part B Supplier - Clinic/Group Practice 6204266182 Receives reassigned benefits from 1 practitioner
Practice locations: Lake in the Hills, IL

National Provider Directory

National Provider Directory

Locations

4614 W Algonquin Rd
Unit E
Lake in the Hills, IL 60156

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": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1023650199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 W ALGONQUIN RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566722",
            "telephone_number": "224-333-0711",
            "fax_number": "224-333-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 W ALGONQUIN RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566722",
            "telephone_number": "224-333-0711",
            "fax_number": "224-333-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYLES CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "EYLES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-333-0071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyles Chiropractic, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lake in the Hills Family Chiropractic, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.