Organization Active NPI

Summerkamp Spine & Joint Center

  • Chiropractor
  • Lake in the Hills, IL
National Provider Identifier
1295074664
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011777 Issued in IL
Legal business name
SUMMERKAMP SPINE & JOINT CENTER
Practice address
4614 W Algonquin Rd
Lake in the Hills, IL 60156-6722
Phone
(224) 858-4996
Fax
(224) 858-4072
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. Daniel M Summerkamp, DC
Title
President/Chiropractic Physician
Phone
(224) 858-4996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011777 IL Primary

Addresses

Primary practice location

4614 W Algonquin Rd
Lake in the Hills, IL 60156-6722

Mailing address

19212 River Rd
Marengo, IL 60152-8512
Phone (815) 742-0596

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1295074664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19212 RIVER RD",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601528512",
            "telephone_number": "815-742-0596",
            "fax_number": "815-455-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 W ALGONQUIN RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566722",
            "telephone_number": "224-858-4996",
            "fax_number": "224-858-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERKAMP SPINE & JOINT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "SUMMERKAMP",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "224-858-4996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.