Organization Active NPI

Buffalo Grove Chiropractic Center, LTD

  • Chiropractor
  • Buffalo Grove, IL
National Provider Identifier
1366517377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38008989 Issued in IL
Legal business name
BUFFALO GROVE CHIROPRACTIC CENTER, LTD
Practice address
1411 McHenry Rd
Suite 225
Buffalo Grove, IL 60089-1385
Phone
(847) 276-2868
Fax
(847) 276-2783
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Glaskin-Clay, D.C.NPI 1861552929
Title
President
Phone
(847) 276-2868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38008989 IL Primary

Addresses

Primary practice location

1411 McHenry Rd
Suite 225
Buffalo Grove, IL 60089-1385

Mailing address

1411 McHenry Rd
Suite 225
Buffalo Grove, IL 60089-1385
Phone (847) 276-2868

National Provider Directory

National Provider Directory

Locations

1411 McHenry Rd
Ste 225
Buffalo Grove, IL 60089
Phone (847) 276-2868

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366517377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 MCHENRY RD",
            "address_2": "SUITE 225",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891385",
            "telephone_number": "847-276-2868",
            "fax_number": "847-276-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MCHENRY RD",
            "address_2": "SUITE 225",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891385",
            "telephone_number": "847-276-2868",
            "fax_number": "847-276-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO GROVE CHIROPRACTIC CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASKIN-CLAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-276-2868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38008989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • 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.