Organization Active NPI

Lindsey Chiropractic Clinic PC

  • Chiropractor
  • Island Lake, IL
National Provider Identifier
1255465522
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006442 Issued in IL
Legal business name
LINDSEY CHIROPRACTIC CLINIC PC
Practice address
28070 RT. 176
Island Lake, IL 60042-9551
Phone
(847) 487-1111
Fax
(847) 487-1164
NPI assigned
Mar 16, 2007
Last updated
Mar 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Dr. Kathleen Margaret Lindsey, DCNPI 1407821390
Title
President
Phone
(847) 487-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038006442 IL Primary

Addresses

Primary practice location

28070 RT. 176
Island Lake, IL 60042-9551

Mailing address

PO Box 120
Island Lake, IL 60042-0120
Phone (847) 487-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041115000080 IL Part B Supplier - Clinic/Group Practice 8022072636 Receives reassigned benefits from 2 practitioners
Practice locations: Island Lake, IL

National Provider Directory

National Provider Directory

Locations

26 W Belvidere Rd
Hainesville, IL 60030
Phone (847) 487-1111

28070 E State Rd
#A
Island Lake, IL 60042
Phone (847) 487-1111

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1255465522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600420120",
            "telephone_number": "847-487-1111",
            "fax_number": "847-487-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28070 RT. 176",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429551",
            "telephone_number": "847-487-1111",
            "fax_number": "847-487-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSEY CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-487-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Island Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.