Lake Cook Chiropractic Health Care, Inc.

Key facts

NPI: 1083886956
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: 038-006836 (IL)
Legal business name: LAKE COOK CHIROPRACTIC HEALTH CARE, INC.
Practice address: 20370 Rand Rd
Suite 104
Kildeer, IL 60074-2058
Phone: (847) 726-2273
Fax: (847) 726-2274
NPI assigned: Mar 31, 2008
Organization subpart: No

Authorized official

Name: Dr. Guy William Garozzo, D.C. NPI 1407803406
Title: Chiropractic Physician
Phone: (847) 726-2273

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Guy William Garozzo, D.C. Chiropractor · Kildeer, IL · NPI 1407803406

NPD (past) Authorized official CHIROPRACTOR

National Provider Directory

Locations

20370 Rand Rd
Ste 104
Kildeer, IL 60074
Phone (847) 726-2273

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	038-006836	IL	Yes

Addresses

Primary practice location

20370 Rand Rd
Suite 104
Kildeer, IL 60074-2058

Mailing address

20370 Rand Rd
Suite 104
Kildeer, IL 60074-2058
Phone (847) 726-2273

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 31, 2008.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1083886956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20370 RAND RD",
            "address_2": "SUITE 104",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600742058",
            "telephone_number": "847-726-2273",
            "fax_number": "847-726-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20370 RAND RD",
            "address_2": "SUITE 104",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600742058",
            "telephone_number": "847-726-2273",
            "fax_number": "847-726-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COOK CHIROPRACTIC HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "GAROZZO",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "847-726-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kildeer, IL

All providers in Kildeer, IL · Chiropractor in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.