Lake Zurich Family Chiropractic, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKE ZURICH FAMILY CHIROPRACTIC, LTD

Doing business as

Hope Chiropractic Center

Practice address

26 N Old Rand Rd
Lake Zurich, IL 60047-2218

Phone

(847) 540-1439

Fax

(847) 540-6407

NPI assigned

Aug 31, 2007

Last updated

Oct 24, 2007By 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

Dr. Waide L. Miller, D.C.NPI 1659497790

Title

President

Phone

(847) 540-1439

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hope Chiropractic Center Doing business as

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.

• Waide Lee Miller, D.C.

  • Neurology Chiropractor
  • Lake Zurich, IL
  • NPI 1659497790
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1235323395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N OLD RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472218",
            "telephone_number": "847-540-1439",
            "fax_number": "847-540-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N OLD RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472218",
            "telephone_number": "847-540-1439",
            "fax_number": "847-540-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ZURICH FAMILY CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WAIDE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-540-1439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04932265",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Emil Kush, LCSW
• Justin Kwon
• Lisa Kathryn Labute
• Karen W Lai
• Lake County Chiropractic & Wellness, S.C.
• Lake Zurich Medical Associates LTD
• Lake Zurich Open MRI, LLC
• Lake Zurich Optical Care LLC
• Lake Zurich Orthodontics LLC
• Lake Zurich Physical Medicine, SC

• Chiropractor in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.