NPIMap

Organization Active NPI

Golf Road Back and Neck Clinic, S.C.

  • Chiropractor
  • Niles, IL
National Provider Identifier
1154628717
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GOLF ROAD BACK AND NECK CLINIC, S.C.
Practice address
9194 W Golf Rd
Niles, IL 60714-5806
Phone
(847) 401-7292
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Sorin Lazar, D.C.
Title
Chiropractic Physician
Phone
(847) 401-7292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9194 W Golf Rd
Niles, IL 60714-5806

Mailing address

9194 W Golf Rd
Niles, IL 60714-5806
Phone (847) 401-7292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1154628717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9194 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145806",
            "telephone_number": "847-401-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9194 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145806",
            "telephone_number": "847-401-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLF ROAD BACK AND NECK CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "SORIN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "847-401-7292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.