Family Chiropractic of Burr Ridge, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009055 Issued in IL

Legal business name

FAMILY CHIROPRACTIC OF BURR RIDGE, P.C.

Practice address

401 South Frontage Rd
#B
Burr Ridge, IL 60527

Phone

(630) 920-9700

Fax

(630) 920-9703

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Edward Albert Carrie, D.C.NPI 1922116748

Title

President

Phone

(630) 920-9700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Edward Albert Carrie, DC

  • Chiropractor
  • Burr Ridge, IL
  • NPI 1922116748
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1386973766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SOUTH FRONTAGE ROAD",
            "address_2": "SUITE #B",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-920-9700",
            "fax_number": "630-920-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTH FRONTAGE RD",
            "address_2": "#B",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-920-9700",
            "fax_number": "630-920-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC OF BURR RIDGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "CARRIE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-920-9700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erich Hirsch DDS LC
• John P Erickson, MD
• Carol S Evenhouse, CDS CHILD DEVELOPMEN
• Evolution Home Health Care, Inc
• Kathryn Fahy, M.A, BCBA
• Jeanne Fangman, P.T.
• Matthew Farmer
• Murray J Favus, MD
• Margaret A Feller, APN
• Ariel Ferguson, PSYD

• Chiropractor in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.