Organization Active NPI

North Shore Naprapathics

  • Naprapath
  • Gurnee, IL
National Provider Identifier
1275707390
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
181-000162 Issued in IL
Legal business name
NORTH SHORE NAPRAPATHICS
Practice address
3930 Washington St
Suite B
Gurnee, IL 60031-5702
Phone
(847) 244-3536
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Dr. Dave Williams
Title
Ceo
Phone
(224) 715-8581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaprapathGroup: 193400000X SINGLE SPECIALTY GROUP 172P00000X 181-000162 IL Primary

Addresses

Primary practice location

3930 Washington St
Suite B
Gurnee, IL 60031-5702

Mailing address

3930 Washington St
Suite B
Gurnee, IL 60031-5702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1275707390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 WASHINGTON ST",
            "address_2": "SUITE B",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WASHINGTON ST",
            "address_2": "SUITE B",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315702",
            "telephone_number": "847-244-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE NAPRAPATHICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-715-8581",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181-000162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.