NPIMap

Organization Active NPI

Fusion Health and Fitness

  • Chiropractor
  • Lake in the Hills, IL
National Provider Identifier
1104131218
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008417 Issued in IL
Legal business name
FUSION HEALTH AND FITNESS
Practice address
7 Sherwood CT
Lake in the Hills, IL 60156-5929
Phone
(815) 404-3727
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Andrew Carr Jr., D.C.
Title
Chiropractor
Phone
(815) 404-3727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038008417 IL Primary

Addresses

Primary practice location

7 Sherwood CT
Lake in the Hills, IL 60156-5929

Mailing address

7 Sherwood CT
Lake in the Hills, IL 60156-5929
Phone (815) 404-3727

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1104131218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SHERWOOD CT",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565929",
            "telephone_number": "815-404-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SHERWOOD CT",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565929",
            "telephone_number": "815-404-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION HEALTH AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "815-404-3727",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008417",
            "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 May 3, 2011; 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.