Lincoln Chiropractic Office

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038005882 Issued in IL

Legal business name

LINCOLN CHIROPRACTIC OFFICE

Practice address

6600 N Lincoln Av
S 215
Lincolnwood, IL 60712

Phone

(847) 674-2171

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Anatuly Kantarovich, DC

Title

Owner

Phone

(847) 674-2171

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1114049301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 N LINCOLN AV",
            "address_2": "S 215",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "60712",
            "telephone_number": "847-674-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 N LINCOLN AV",
            "address_2": "S 215",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "60712",
            "telephone_number": "847-674-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN CHIROPRACTIC OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "KANTAROVICH",
        "authorized_official_first_name": "ANATULY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-674-2171",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE UPIN",
            "identifier": "T38758",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1682706",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038005882",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Rose Laufer
• Judith Y Lee, O.D.
• Jonathan Israel Lehrfield, M.D.
• Amy M Lewitz, MS RN CS APRN BC
• Heleena Lim
• Lincoln Home Health Care Inc.
• Lincolnwood Acupuncture & Chiropractic Center, P.C.
• Lincolnwood Chiropractic Health Center
• Lincolnwood Orthopedics, LLC
• Lincolnwood SCH Dist 74

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.