Davidson Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DAVIDSON CHIROPRACTIC CLINIC PC

Practice address

1640 Willow Circle Dr
Ste # 400
Crest Hill, IL 60403

Phone

(815) 729-9922

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Timothy A Davidson, DCNPI 1982654240

Title

President

Phone

(815) 729-9922

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.

• Timothy A Davidson, D.C.

  • Chiropractor
  • Crest Hill, IL
  • NPI 1982654240
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285854877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 WILLOW CIRCLE DR",
            "address_2": "STE # 400",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604350959",
            "telephone_number": "815-729-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 WILLOW CIRCLE DR",
            "address_2": "STE # 400",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "60403",
            "telephone_number": "815-729-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-729-9922",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crescent Chiropractic PLLC
• Crest Hill Clinic LTD
• Crest Hill Dental Studio
• Lisa Damani, PHARMD
• Mary Kay Darin
• Timothy A Davidson, D.C.
• Mary A Davis, LCSW
• Noemi Delgado, RBT-18-49906
• Jenalee Demarco, SLP
• Dental Starz 3 L.L.C

• Chiropractor in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.