NPIMap

Organization Active NPI

Lake Zurich Physical Medicine, SC

  • Chiropractor
  • Lake Zurich, IL
National Provider Identifier
1376616789
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAKE ZURICH PHYSICAL MEDICINE, SC
Practice address
450 S Rand Rd
Lake Zurich, IL 60047-2359
Phone
(847) 438-3899
Fax
(847) 438-5459
NPI assigned
Nov 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Patrick Joseph Morris, D.C.
Title
Owner
Phone
(847) 438-3899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

450 S Rand Rd
Lake Zurich, IL 60047-2359

Mailing address

450 S Rand Rd
Lake Zurich, IL 60047-2359
Phone (847) 438-3899

National Provider Directory

National Provider Directory

Locations

26 N Old Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-3899

450 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-3899

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376616789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472359",
            "telephone_number": "847-438-3899",
            "fax_number": "847-438-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472359",
            "telephone_number": "847-438-3899",
            "fax_number": "847-438-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ZURICH PHYSICAL MEDICINE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-438-3899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, 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.