Loves Park Chiropractic Clinic S C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008334 Issued in IL

Legal business name

LOVES PARK CHIROPRACTIC CLINIC S C

Practice address

421 River LN
Loves Park, IL 61111-5040

Phone

(815) 633-7272

Fax

(815) 633-7274

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jarrod Steven Kerkhoff, D.C.NPI 1346259553

Title

President

Phone

(815) 633-7272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jarrod Steven Kerkhoff, DC

  • Chiropractor
  • Loves Park, IL
  • NPI 1346259553
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Kae Gale Kerkhoff, D.C.

  • Chiropractor
  • Loves Park, IL
  • NPI 1306859954
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1346383635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 RIVER LN",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611115040",
            "telephone_number": "815-633-7272",
            "fax_number": "815-633-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 RIVER LN",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611115040",
            "telephone_number": "815-633-7272",
            "fax_number": "815-633-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVES PARK CHIROPRACTIC CLINIC S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "KERKHOFF",
        "authorized_official_first_name": "JARROD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-633-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenore M Litwin, RN, CRNA
• Maria Nessan Venerable Lobos
• Andrea Lynn Lomas
• Elizabeth Diane Loudermilk, CRNA
• Douglas J. Loughead, M.D.
• Jason Lubben, ATC
• Lucem LLC
• Jacqueline M Macdonald, APRN, PMHNP-BC
• Amanda Devell Madenis, NHP, MW
• Becky L Madsen, CRNA

• Chiropractor in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.