Organization Active NPI

Delta Chiropractic and Decompression LLC

  • Chiropractor
  • Lake in the Hills, IL
National Provider Identifier
1073929204
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0380011807 Issued in IL
Legal business name
DELTA CHIROPRACTIC AND DECOMPRESSION LLC
Practice address
43 W Acorn LN
Lake in the Hills, IL 60156-4804
Phone
(847) 854-5356
Fax
(847) 854-5436
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Nathan A Stewart, D.C.
Title
Owner/Doctor
Phone
(815) 909-8494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0380011807 IL Primary

Addresses

Primary practice location

43 W Acorn LN
Lake in the Hills, IL 60156-4804

Mailing address

43 W Acorn LN
Lake in the Hills, IL 60156-4804
Phone (847) 854-5356

National Provider Directory

National Provider Directory

Locations

43 W Acorn Ln
Lk in the Hls, IL 60156
Phone (847) 658-8541

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1073929204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W ACORN LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564804",
            "telephone_number": "847-854-5356",
            "fax_number": "847-854-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W ACORN LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564804",
            "telephone_number": "847-854-5356",
            "fax_number": "847-854-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA CHIROPRACTIC AND DECOMPRESSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "815-909-8494",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "0380011807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 17, 2016; 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.