South Elgin Chiropractic Associates

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTH ELGIN CHIROPRACTIC ASSOCIATES

Practice address

1000 W Spring St
South Elgin, IL 60177-1466

Phone

(847) 742-8900

Fax

(847) 742-8905

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Moore, D.C.

Title

President

Phone

(847) 742-8900

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043331036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771466",
            "telephone_number": "847-742-8900",
            "fax_number": "847-742-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771466",
            "telephone_number": "847-742-8900",
            "fax_number": "847-742-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ELGIN CHIROPRACTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-742-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004515230",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas C Siewert, D.D.S.
• Silver Glen Family Dental
• Susan Simmonds, PTA
• Solstice Integrative Psychiatry, PLLC
• South Elgin and Countryside Fire Protection District
• South Elgin Living & Rehab Center LLC
• Spring View Dental, Incorporated
• Desmond Stallworth, MD
• Katherine Staniek
• Elzbieta Stanisz

• Chiropractor in South Elgin, IL
• Providers in South Elgin, IL by specialty
• Chiropractor in Illinois

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