Organization Active NPI

Dupage Family Chiropractic PC

  • Chiropractor
  • Lisle, IL
National Provider Identifier
1083002547
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012720 Issued in IL
Legal business name
DUPAGE FAMILY CHIROPRACTIC PC
Practice address
3033 Ogden Ave
Suite 112
Lisle, IL 60532-1673
Phone
(630) 442-7175
Fax
(630) 631-0998
NPI assigned
Jan 6, 2015
Last updated
Sep 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Dr. Michael Genslinger, D.C.NPI 1861898165
Title
Chiropractic Physician
Phone
(630) 442-7175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012720 IL Primary

Addresses

Primary practice location

3033 Ogden Ave
Suite 112
Lisle, IL 60532-1673

Mailing address

3033 Ogden Ave
Suite 112
Lisle, IL 60532-1673
Phone (630) 442-7175

National Provider Directory

National Provider Directory

Locations

3033 Ogden Ave
Ste 112
Lisle, IL 60532
Phone (630) 442-7175

1300 Iroquois Ave
Ste 150
Naperville, IL 60563
Phone (630) 442-7175

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1083002547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 OGDEN AVE",
            "address_2": "SUITE 112",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321673",
            "telephone_number": "630-442-7175",
            "fax_number": "630-631-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 OGDEN AVE",
            "address_2": "SUITE 112",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321673",
            "telephone_number": "630-442-7175",
            "fax_number": "630-631-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "GENSLINGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "630-442-7175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.