Gamble Chiropractic Clinic, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GAMBLE CHIROPRACTIC CLINIC, LTD.

Practice address

208 S Washington St
Carpentersville, IL 60110-2627

Phone

(847) 428-6201

Fax

(847) 428-6210

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack W. Gamble, D.C.

Title

President/Owner

Phone

(847) 428-6201

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104831940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S WASHINGTON ST",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102627",
            "telephone_number": "847-428-6201",
            "fax_number": "847-428-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S WASHINGTON ST",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102627",
            "telephone_number": "847-428-6201",
            "fax_number": "847-428-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBLE CHIROPRACTIC CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-428-6201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.