Midwest Neuro DX, S.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

038007445 Issued in IL

Legal business name

MIDWEST NEURO DX, S.C.

Practice address

1678 Natures Way
Lindenhurst, IL 60046-1706

Phone

(847) 504-9352

Fax

(847) 892-4140

NPI assigned

Aug 2, 2013

Last updated

Aug 2, 2013By 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. Scott E Schichtl, DCNPI 1053302372

Title

President

Phone

(847) 504-9352

Specialties & licenses 1

Addresses

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.

• Scott E Schichtl, DC

  • Neurology Chiropractor
  • Lindenhurst, IL
  • NPI 1053302372
  NPD (past) Authorized official

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1255763199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 NATURES WAY",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600461706",
            "telephone_number": "847-504-9352",
            "fax_number": "847-892-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 NATURES WAY",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600461706",
            "telephone_number": "847-504-9352",
            "fax_number": "847-892-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST NEURO DX, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "SCHICHTL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-504-9352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": "038007445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Baldino-Gomez D.D.S., S.C.
• Peyton Masterson
• Thomas Michael McGowan, M.D.
• Dave Thomas McKenna, M.A.
• Katherine Marie McNamara
• Emilie Mies, PA-C
• Milennium Medical LTD
• Lauren Melchiorre Miles, MCD, CCC-SLP
• MJK Dentistry LTD (Lindenhurst Dental Arts)
• Fida Momani

• Neurology Chiropractor in Lindenhurst, IL
• Providers in Lindenhurst, IL by specialty
• Neurology Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.