North Suburban Family Chiropractic, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NORTH SUBURBAN FAMILY CHIROPRACTIC, LTD.

Practice address

3202 Northwest Hwy
Ste. E
Cary, IL 60013-3507

Phone

(847) 516-8000

Fax

(847) 516-8959

NPI assigned

Apr 25, 2007

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery Clark, D.C.NPI 1992867709

Title

Owner

Phone

(847) 516-8000

Specialties & licenses 1

Addresses

Other identifiers 1

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, and the practitioner matching its NPPES authorized official.

• Jeffery Clark, D.C.

  • Chiropractor
  • Cary, IL
  • NPI 1992867709
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1205055142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 NORTHWEST HWY",
            "address_2": "STE. E",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600133507",
            "telephone_number": "847-516-8000",
            "fax_number": "847-516-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 NORTHWEST HWY",
            "address_2": "STE. E",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600133507",
            "telephone_number": "847-516-8000",
            "fax_number": "847-516-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN FAMILY CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-516-8000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05622903",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne Peterson Murphy, LCPC
• Theodore Nenov, HIS
• Darrell Lee Nicks, PSY.D.
• Carrie Nicolle, MA, CCC-SLP/L
• Niraj J Patel (Cary Family Dental)
• Northwest Pediatric Therapy
• Shannon O'Malley
• Christine Padjen, RPH
• Blake An Han Tong Palliser, DMD
• Paul Allen Palliser, D.D.S.

• Chiropractor in Cary, IL
• Providers in Cary, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.