Active NPI
Elgin Medical Pain Management
- Chiropractor
- Schaumburg, IL
National Provider Identifier
1265824734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ELGIN MEDICAL PAIN MANAGEMENT
- Practice address
- 1037 E Woodfield Rd.
Schaumburg, IL 60173 - Phone
- (815) 404-3064
- Fax
- (847) 697-3475
- NPI assigned
- Feb 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael James Hartlett, D.C.
- Title
- Ceo
- Phone
- (815) 404-3064
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | IL | ||
| Physical Therapist | 225100000X | IL |
Addresses
Primary practice location
1037 E Woodfield Rd.
Schaumburg, IL 60173
Mailing address
1116 Palmer CT
Crystal Lake, IL 60014-6938
Phone (815) 404-3064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1500023738 | Other | IL | CITY OF ELGIN LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456704000000",
"number": "1265824734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 PALMER CT",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146938",
"telephone_number": "815-404-3064",
"fax_number": "847-697-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037 E WOODFIELD RD.",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "60173",
"telephone_number": "815-404-3064",
"fax_number": "847-697-3475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELGIN MEDICAL PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-20",
"last_updated": "2016-02-29",
"status": "A",
"authorized_official_last_name": "HARTLETT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "815-404-3064",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY OF ELGIN LICENSE",
"identifier": "1500023738",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.