Organization Active NPI

Northwestern Peak Performance Health Care, LTD

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1366600017
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
042619249 Issued in IL
Legal business name
NORTHWESTERN PEAK PERFORMANCE HEALTH CARE, LTD
Practice address
6139 W Touhy Ave
Chicago, IL 60646-1268
Phone
(312) 440-9646
Fax
(773) 767-3944
NPI assigned
May 29, 2008
Organization subpart
Yes
Parent organization
PEAK PERFORMANCE HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Mrs. Lynn McRoy
Title
Billing Coordinator
Phone
(773) 767-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 042619249 IL Primary

Addresses

Primary practice location

6139 W Touhy Ave
Chicago, IL 60646-1268

Mailing address

6139 W Touhy Ave
Chicago, IL 60646-1268
Phone (312) 440-9646

National Provider Directory

National Provider Directory
Part of
Peak Performance Health Center LTD

Practitioners & affiliated clinicians

Practitioners 2

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1366600017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6139 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461268",
            "telephone_number": "312-440-9646",
            "fax_number": "773-767-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6139 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461268",
            "telephone_number": "312-440-9646",
            "fax_number": "773-767-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN PEAK PERFORMANCE HEALTH CARE, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK PERFORMANCE HEALTH CARE",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "MCROY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "773-767-3822",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042619249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.