NPIMap

Organization Active NPI

Great Lakes Imaging Consultants, PC

  • Radiology Chiropractor
  • North Aurora, IL
National Provider Identifier
1194172882
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
038012287 Issued in IL
Legal business name
GREAT LAKES IMAGING CONSULTANTS, PC
Practice address
1297 Kilbery LN
North Aurora, IL 60542-4604
Phone
(630) 423-6058
NPI assigned
May 23, 2016
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Dr. Andrew Seppala, DC, DACBRNPI 1265790992
Title
President
Phone
(630) 423-6058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0200X 038012287 IL Primary

Addresses

Primary practice location

1297 Kilbery LN
North Aurora, IL 60542-4604

Mailing address

1297 Kilbery LN
North Aurora, IL 60542-4604

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1194172882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 KILBERY LN",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605424604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 KILBERY LN",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605424604",
            "telephone_number": "630-423-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES IMAGING CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "SEPPALA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-423-6058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DACBR"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "IL",
            "license": "038012287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.