Evolve Chiropractic Algonquin PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EVOLVE CHIROPRACTIC ALGONQUIN PLLC

Practice address

1946 South Randall Road
Algonquin, IL 60102

Phone

(847) 802-4824

NPI assigned

May 1, 2023

Last updated

Aug 27, 2024By 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

Scott Cruse, DCNPI 1003103938

Title

Owner

Phone

(224) 250-3526

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

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.

• Lauren Elizabeth Biestek, DC

  • Chiropractor
  • Lake in the Hills, IL
  • NPI 1508330416
  Medicare reassignment Care Compare group NPD
• Scott M Cruse, DC

  • Chiropractor
  • Palatine, IL
  • NPI 1003103938
  Medicare reassignment NPD Authorized official
• Logan Dean Hooczko, DC

  • Chiropractor
  • Huntley, IL
  • NPI 1386402709
  Medicare reassignment Care Compare group NPD
• Bianca Prentis, DC

  • Chiropractor
  • Elgin, IL
  • NPI 1487290946
  Medicare reassignment Care Compare group NPD
• Phillip James Shaw, D.C.

  • Chiropractor
  • Wheeling, IL
  • NPI 1053558775
  Medicare reassignment Care Compare group NPD
• Justin Christopher Campos, DC

  • Chiropractor
  • Island Lake, IL
  • NPI 1497463855
  Medicare reassignment
• Ryan Robert Felde, D.C.

  • Chiropractor
  • Palatine, IL
  • NPI 1033436738
  NPD (past)

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1154019768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 RUTH RD",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 SOUTH RANDALL ROAD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "60102",
            "telephone_number": "847-802-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE CHIROPRACTIC ALGONQUIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "CRUSE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-250-3526",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.