Kimberly M Egly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

1150 N State St Ste 310
Chicago, IL 60610-2781

Phone

(312) 988-9655

Fax

(312) 988-7060

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimberly M Egly LTD

  dba gold coast chiropractic

  • Chiropractor
  • Chicago, IL
  • NPI 1366516817
  NPD (past) Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215013800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N STATE ST STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102781",
            "telephone_number": "312-988-9655",
            "fax_number": "312-988-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N STATE ST STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102781",
            "telephone_number": "312-988-9655",
            "fax_number": "312-988-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGLY",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "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": "1682319",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Denise Eghbali, CNM, DNP
• Wadi Eghterafi
• Mansooreh Eghtesad, M.D.
• Osbert Egiebor, MD
• Melissa Egler, PT, DPT, CLT
• Peter Joseph Egofske, M.D.
• Ugochukwu Cresent Egolum, MD
• Abby Egstad, MS, CF-SLP
• Darlene Egues, MD
• Lis Eguia Guimaraes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.