Center for Chiropractic and Natural Medicine SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009973 Issued in IL

Legal business name

CENTER FOR CHIROPRACTIC AND NATURAL MEDICINE SC

Practice address

1141 E Main St
Suite 213
East Dundee, IL 60118-2440

Phone

(630) 842-1466

Fax

(888) 398-1383

NPI assigned

Aug 7, 2013

Last updated

Aug 7, 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

William Obrien, D.C.NPI 1235217795

Title

Owner

Phone

(630) 842-1466

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• William Gerard O'Brien, D.C.

  • Chiropractor
  • Glendale Heights, IL
  • NPI 1235217795
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1265864789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S WESTERN AVE",
            "address_2": "SUITE 213",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601101738",
            "telephone_number": "630-842-1466",
            "fax_number": "888-398-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E MAIN ST",
            "address_2": "SUITE 213",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601182440",
            "telephone_number": "630-842-1466",
            "fax_number": "888-398-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHIROPRACTIC AND NATURAL MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-842-1466",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "206237",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Bratko, PT
• Alan James Brongiel, M.D.
• Aaron Bush, MS, MHA
• Kayla Camp
• Belgica Johana Cardoso
• Panita Chiemmongkoltip
• Kendra Clark
• Kirsten Sandra Cook
• Amish V Desai, D.D.S.
• Lindsay Dort

• Chiropractor in East Dundee, IL
• Providers in East Dundee, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.