Bolingbrook Family Chiropractic LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BOLINGBROOK FAMILY CHIROPRACTIC LTD

Doing business as

Bolingbrook Family Chiropractic

Practice address

550 E Boughton Rd
Suite 150
Bolingbrook, IL 60440-2100

Phone

(630) 699-6840

Fax

(630) 739-5871

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradley A Dahlager, DCNPI 1356522007

Title

President

Phone

(630) 699-6840

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bolingbrook Family Chiropractic Doing business as

Tax ID family

Bolingbrook Family Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Noblesville Family Chiropractic, LTD

  dba Noblesville Family Chiropractic

  • Chiropractor
  • Noblesville, IN
  • NPI 1861832248
  NPD tax ID

Locations

Practitioners 1

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

• Bradley A Dahlager, D.C.

  • Chiropractor
  • Noblesville, IN
  • NPI 1356522007
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1114071594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD",
            "address_2": "SUITE 150",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402100",
            "telephone_number": "630-699-6840",
            "fax_number": "630-739-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD",
            "address_2": "SUITE 150",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402100",
            "telephone_number": "630-699-6840",
            "fax_number": "630-739-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLINGBROOK FAMILY CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "DAHLAGER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-699-6840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7674253",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolingbrook Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.