Scott G Reiser, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-006409 Issued in IL

Practice address

36735 N Il Route 83
Lake Villa, IL 60046-9619

Phone

(847) 265-5600

Fax

(847) 245-4491

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1134217151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36735 N IL ROUTE 83",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469619",
            "telephone_number": "847-265-5600",
            "fax_number": "847-245-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36735 N IL ROUTE 83",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469619",
            "telephone_number": "847-265-5600",
            "fax_number": "847-245-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISER",
        "first_name": "SCOTT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Prater, PA-C
• Julie M Prellwitz-Bending, MS., SLP-CCC
• Kimberly Ann Rauchfuss, SCHOOL PSYCHOLOGIST
• Reassure Health PLLC
• Melissa Redmond, LPC
• Elizabeth Remedi, LPC
• Renal Treatment Centers-Illinois Inc (Lake Villa Dialysis)
• Revrehab, LTD.
• Nicholas Rippentrop, MS
• Adam Robinson, LCPC

• Chiropractor in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.