NPIMap

Organization Active NPI

Lifetime Health & Wellness Center SC

  • Chiropractor
  • South Elgin, IL
National Provider Identifier
1255715884
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007411 Issued in IL
Legal business name
LIFETIME HEALTH & WELLNESS CENTER SC
Practice address
101 S McLean Blvd Ste a
South Elgin, IL 60177-1830
Phone
(847) 717-3400
Fax
(847) 255-7945
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Timothy Neil ScheningNPI 1245215235
Title
Owner
Phone
(847) 717-3400

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038007411 IL Primary

Addresses

Primary practice location

101 S McLean Blvd Ste a
South Elgin, IL 60177-1830

Mailing address

101 S McLean Blvd Ste a
South Elgin, IL 60177-1830
Phone (847) 717-3400

Other identifiers 1

IdentifierTypeStateIssuer
IL6414OtherILMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1255715884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MCLEAN BLVD STE A",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771830",
            "telephone_number": "847-717-3400",
            "fax_number": "847-255-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MCLEAN BLVD STE A",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771830",
            "telephone_number": "847-717-3400",
            "fax_number": "847-255-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HEALTH & WELLNESS CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "SCHENING",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-717-3400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL6414",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.