Organization Active NPI

McDowell Chiropractic Clinic, S.C.

  • Chiropractor
  • Hinsdale, IL
National Provider Identifier
1114110517
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.008640 Issued in IL
Legal business name
MCDOWELL CHIROPRACTIC CLINIC, S.C.
Practice address
240 East Ogden Avenue
Suite 102
Hinsdale, IL 60521
Phone
(630) 430-8372
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Dr. Roger Scott McDowell, D.C.
Title
Medical Director
Phone
(630) 430-8372

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038008640 IL
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038.008640 IL Primary

Addresses

Primary practice location

240 East Ogden Avenue
Suite 102
Hinsdale, IL 60521

Mailing address

P.O. Box 280
Clarendon Hills, IL 60514
Phone (630) 430-8372

Other identifiers 1

IdentifierTypeStateIssuer
02223248OtherILBLUE CROSS BLUE SHIELD IL

National Provider Directory

National Provider Directory

Locations

240 E Ogden Ave
Ste 102
Hinsdale, IL 60521
Phone (630) 430-8372

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1114110517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 280",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "60514",
            "telephone_number": "630-430-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EAST OGDEN AVENUE",
            "address_2": "SUITE 102",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-430-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOWELL CHIROPRACTIC CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-430-8372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008640",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.008640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "02223248",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.