Great Lakes Imaging Consultants, PC

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

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Seppala, DC, DACBR

Title

President

Phone

(630) 423-6058

Specialties & licenses 1

Addresses

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": []
}

• Ankush Goel, MD
• Chris E Gonzales, MS, NCC, LPC
• Graceful Care LLC
• Graceful Care LLC
• Amanda M Grau, MA, BCBA
• Brittney E Green
• Logan Green
• Anthony Philip Grego, LMSW
• Michael J Gugliotta, D.C.
• Syed Nauman Haider, PHARM.D.

• Radiology Chiropractor in North Aurora, IL
• Providers in North Aurora, IL by specialty
• Radiology Chiropractor in Illinois

• 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.