Organization Active NPI

Northbrook Chiropractic and Natural Care Center SC

  • Health Service Clinic/Center
  • Northbrook, IL
National Provider Identifier
1134512668
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
038010408 Issued in IL
Legal business name
NORTHBROOK CHIROPRACTIC AND NATURAL CARE CENTER SC
Practice address
1500 Shermer Rd Ste 1SE
Northbrook, IL 60062-5343
Phone
(224) 817-2273
Fax
(224) 415-3706
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Dr. Boris Veller, DC
Title
Owner
Phone
(224) 817-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 038010408 IL Primary

Addresses

Primary practice location

1500 Shermer Rd Ste 1SE
Northbrook, IL 60062-5343

Mailing address

1500 Shermer Rd Ste 1SE
Northbrook, IL 60062-5343
Phone (224) 817-2273

National Provider Directory

National Provider Directory

Locations

1500 Shermer Rd
Ste 1SE
Northbrook, IL 60062
Phone (224) 415-3707

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": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1134512668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHERMER RD STE 1SE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625343",
            "telephone_number": "224-817-2273",
            "fax_number": "224-415-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHERMER RD STE 1SE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625343",
            "telephone_number": "224-817-2273",
            "fax_number": "224-415-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBROOK CHIROPRACTIC AND NATURAL CARE CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "VELLER",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-817-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "038010408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.