NPIMap

Organization Active NPI

Fox Valley Chiropractic Clinic, LTD

  • Health Service Clinic/Center
  • Elgin, IL
National Provider Identifier
1134496607
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
060004490 Issued in IL
Legal business name
FOX VALLEY CHIROPRACTIC CLINIC, LTD
Practice address
1140 N McLean Blvd Ste C
Elgin, IL 60123-1782
Phone
(847) 888-0411
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Dr. Pamela A Olson, DCNPI 1770719759
Title
Owner/President
Phone
(847) 888-0411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 060004490 IL Primary

Addresses

Primary practice location

1140 N McLean Blvd Ste C
Elgin, IL 60123-1782

Mailing address

1140 N McLean Blvd Ste C
Elgin, IL 60123-1782
Phone (847) 888-0411

National Provider Directory

National Provider Directory

Locations

1140 N McLean Blvd
Ste C
Elgin, IL 60123
Phone (224) 558-5493

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1134496607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N MCLEAN BLVD STE C",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231782",
            "telephone_number": "847-888-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N MCLEAN BLVD STE C",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231782",
            "telephone_number": "847-888-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY CHIROPRACTIC CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-888-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "060004490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.