Scott Family Chiropractic Clinic PC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

038007631 Issued in IL

Legal business name

SCOTT FAMILY CHIROPRACTIC CLINIC PC

Doing business as

Scott Chiropractic Associates

Practice address

4180 RFD Ste 83
Suite 100
Long Grove, IL 60047-9580

Phone

(847) 821-3700

Fax

(847) 821-7330

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert C. Scott, DCNPI 1265505440

Title

Director

Phone

(847) 821-3700

Specialties & licenses 1

Addresses

Other names 1

• Scott Chiropractic Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Robert Campbell Scott, DC

  • Sports Physician Chiropractor
  • Long Grove, IL
  • NPI 1265505440
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1154689933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 RFD STE 83",
            "address_2": "SUITE 100",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600479580",
            "telephone_number": "847-821-3700",
            "fax_number": "847-821-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 RFD STE 83",
            "address_2": "SUITE 100",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600479580",
            "telephone_number": "847-821-3700",
            "fax_number": "847-821-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT FAMILY CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-821-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038007631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Chiropractic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosin Optical Co., Inc.
• Susannah Elizabeth Ross
• Royal First Assistants,Inc.
• Melanie Shay Ryder
• Samantha Scharringhausen, MA
• Robert Campbell Scott, DC
• Serenity Home Health LLC
• Ilan Shahar
• Kira Shamaev Shifrin, OTR/L
• Paru Kutty Sharma, MD

• Sports Physician Chiropractor in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.