Adio Chiropractic Clinic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0380006958 Issued in IL

Legal business name

ADIO CHIROPRACTIC CLINIC SC

Practice address

316 Peterson Rd
Libertyville, IL 60048

Phone

(847) 816-3350

Fax

(847) 816-6923

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn Rae Putts-Cantwell, DC

Title

President

Phone

(847) 816-3350

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kathryn Rae Cantwell, D.C.

  • Chiropractor
  • Beaverton, OR
  • NPI 1386625010
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1104030964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 PETERSON RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-816-3350",
            "fax_number": "847-816-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 PETERSON RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-816-3350",
            "fax_number": "847-816-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIO CHIROPRACTIC CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "PUTTS-CANTWELL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-816-3350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "0380006958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P-TAN",
            "identifier": "209726",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christine T Adique, APNP
• Philip N Adjei, M.D.
• Ellen Cristine Adler, MS CCC-SLP
• Advanced Diabetes & Endocrince Center, P.C.
• Advanced Eyecare Consultants, Inc

• Chiropractor in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.