Organization Active NPI

Patrick Chiropractic Services P.C.

  • Orthopedic Chiropractor
  • Elgin, IL
National Provider Identifier
1194745000
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
38003465 Issued in IL
Legal business name
PATRICK CHIROPRACTIC SERVICES P.C.
Practice address
750 Fletcher Dr
#304
Elgin, IL 60123-4756
Phone
(847) 888-3131
Fax
(847) 888-3459
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Dr. Edwin Paul Patrick, D.C.
Title
Owner
Phone
(847) 888-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 38003465 IL Primary

Addresses

Primary practice location

750 Fletcher Dr
#304
Elgin, IL 60123-4756

Mailing address

750 Fletcher Dr
#304
Elgin, IL 60123-4703
Phone (847) 888-3131

Other identifiers 1

IdentifierTypeStateIssuer
1617755OtherILBLUE CROSS

National Provider Directory

National Provider Directory

Locations

1140 N McLean Blvd
Elgin, IL 60123
Phone (847) 695-3680

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1194745000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DR",
            "address_2": "#304",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234703",
            "telephone_number": "847-888-3131",
            "fax_number": "847-888-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DR",
            "address_2": "#304",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234756",
            "telephone_number": "847-888-3131",
            "fax_number": "847-888-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK CHIROPRACTIC SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-888-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "38003465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1617755",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.