Kimberly M Egly LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KIMBERLY M EGLY LTD

Doing business as

gold coast chiropractic

Practice address

1150 N State St Ste 320
Chicago, IL 60610-7481

Phone

(312) 988-9655

Fax

(312) 988-7060

NPI assigned

Nov 17, 2006

Last updated

Aug 22, 2020By 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

Dr. Kimberly M Egly, DCNPI 1215013800

Title

Owner

Phone

(312) 988-9655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• gold coast chiropractic Doing business as

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.

• Kimberly M Egly, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1215013800
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366516817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N STATE ST STE 320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107481",
            "telephone_number": "312-988-9655",
            "fax_number": "312-988-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N STATE ST STE 320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107481",
            "telephone_number": "312-988-9655",
            "fax_number": "312-988-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M EGLY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EGLY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-988-9655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1682319",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "gold coast chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zin Young Kim
• Kimball Ladien,MD
• Kimball Medical Center SC
• Charles Kimball
• John Kimball
• Kimberly Mathis-Harris (The Eye Bar optics)
• Kimberly Smiles
• Kimberly Vander Griend LCSW LTD
• Ariel Kimble
• Danielle Kimble

• Chiropractor in Chicago, IL
• Providers in Chicago, 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.