Organization Active NPI

Grundy Family Chiropractic SC

  • Chiropractor
  • Palatine, IL
National Provider Identifier
1043422033
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRUNDY FAMILY CHIROPRACTIC SC
Practice address
600 N North CT Ste 100
Palatine, IL 60067-8128
Phone
(847) 358-9999
Fax
(847) 358-7651
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Dr. Alicia Jane Grundy, DCNPI 1043381650
Title
Owner
Phone
(847) 358-9999

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

600 N North CT Ste 100
Palatine, IL 60067-8128

Mailing address

357 W Northwest Hwy
Palatine, IL 60067
Phone (847) 358-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040716000455 IL Part B Supplier - Clinic/Group Practice 6103805742 Receives reassigned benefits from 1 practitioner
Practice locations: Palatine, IL

National Provider Directory

National Provider Directory

Locations

600 N North Ct
Ste 100
Palatine, IL 60067
Phone (847) 358-9999

Practitioners & affiliated clinicians

Practitioners 3

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1043422033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60067",
            "telephone_number": "847-358-9999",
            "fax_number": "847-358-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N NORTH CT STE 100",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678128",
            "telephone_number": "847-358-9999",
            "fax_number": "847-358-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNDY FAMILY CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "GRUNDY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-358-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.