Elgin Physical Medicine SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELGIN PHYSICAL MEDICINE SC

Practice address

3617 Morsay Dr
Rockford, IL 61107-4869

Phone

(773) 278-9525

Fax

(773) 337-9135

NPI assigned

Apr 2, 2026

Organization subpart

Yes

Parent organization

ELGIN PHYSICAL MEDICINE SCAs reported in NPPES

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

Authorized official

Name

Eugene Jao

Title

President

Phone

(773) 278-9525

Specialties & licenses 1

Addresses

Tax ID family

Elgin Physical Medicine SC2 organizations share this tax ID, including this one

Part of

Elgin Physical Medicine SC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elgin Physical Medicine SC

  • Chiropractor
  • Elgin, IL
  • NPI 1942923776
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Elgin Physical Medicine SC

  • Chiropractor
  • Elgin, IL
  • NPI 1942923776
  NPPES parent name

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1154262384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4782",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606804782",
            "telephone_number": "773-278-9525",
            "fax_number": "773-337-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 MORSAY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074869",
            "telephone_number": "773-278-9525",
            "fax_number": "773-337-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN PHYSICAL MEDICINE SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELGIN PHYSICAL MEDICINE SC",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "JAO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-278-9525"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Mohammed Elagez, MD
• Christina Augusta Eldridge, ATC, CSCS
• Elemental ABA
• Elevated Health Essentials, LLC
• Elevated Health LLC Dba Brightstar Care of Rockford
• Elite Spine & Wellness Center, Inc
• Elizabeth Lawson LCSW PLLC
• Theodore Eller, M.D.
• Antoinette Gail Ellingson, C.N.P.
• Cynthia Gail Elliott-Zippe, APN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.