Organization Active NPI

L. Humberstone D.C., SC

  • Chiropractor
  • Bloomingdale, IL
National Provider Identifier
1386974160
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038005562 Issued in IL
Legal business name
L. HUMBERSTONE D.C., SC
Practice address
303 E Army Trail Road
101
Bloomingdale, IL 60108-2155
Phone
(630) 529-2225
Fax
(630) 529-0137
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Dr. Lawrence Humberstone
Title
President
Phone
(630) 529-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038005562 IL Primary

Addresses

Primary practice location

303 E Army Trail Road
101
Bloomingdale, IL 60108-2155

Mailing address

303 E Army Trail Road
101
Bloomingdale, IL 60108-2155
Phone (630) 529-2225

Other identifiers 2

IdentifierTypeStateIssuer
0002234425OtherILBCBS
038-005562MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1386974160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL ROAD",
            "address_2": "101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082155",
            "telephone_number": "630-529-2225",
            "fax_number": "630-529-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL ROAD",
            "address_2": "101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082155",
            "telephone_number": "630-529-2225",
            "fax_number": "630-529-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. HUMBERSTONE D.C., SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "HUMBERSTONE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-529-2225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0002234425",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038-005562",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.