Camp Chirotherapy LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CAMP CHIROTHERAPY LLC

Practice address

3925 W Algonquin Rd
Algonquin, ID 60102

Phone

(224) 325-4119

NPI assigned

Sep 12, 2019

Last updated

Sep 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Elizabeth Gerke, D.C.NPI 1952957433

Title

Chiropractor

Phone

(414) 469-4193

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Elizabeth Gerke, DC

  • Chiropractor
  • Algonquin, IL
  • NPI 1952957433
  NPD Authorized official

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1114577079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 IMPRESSIONS DR",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 W ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "ID",
            "postal_code": "60102",
            "telephone_number": "224-325-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP CHIROTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "GERKE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "414-469-4193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.