Organization Active NPI

Lake County Accident and Injury Center

  • Chiropractor
  • Gurnee, IL
National Provider Identifier
1033698659
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAKE COUNTY ACCIDENT AND INJURY CENTER
Practice address
36100 N Brookside Dr Ste 107
Gurnee, IL 60031-4572
Phone
(847) 672-6439
NPI assigned
Aug 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Dr. Michael Adamets Jr., DC
Title
Member
Phone
(614) 539-4128

Specialties & licenses 1

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

Addresses

Primary practice location

36100 N Brookside Dr Ste 107
Gurnee, IL 60031-4572

Mailing address

3683 Garden CT
Grove City, OH 43123-2906

Other practice location 1

36100 N Brookside Dr Ste 107
Gurnee, IL 60031-4572
Phone (614) 539-4128

National Provider Directory

National Provider Directory

Locations

36100 N Brookside Dr
Ste 107
Gurnee, IL 60031
Phone (614) 539-4128

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1033698659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3683 GARDEN CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 N BROOKSIDE DR STE 107",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314572",
            "telephone_number": "847-672-6439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36100 N Brookside Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600314572",
            "country_code": "US",
            "telephone_number": "614-539-4128",
            "fax_number": "888-631-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE COUNTY ACCIDENT AND INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "ADAMETS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-539-4128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "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": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.