Lemont Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038005266 Issued in IL

Legal business name

LEMONT CHIROPRACTIC CENTER PC

Practice address

15337 E 127TH St
Lemont, IL 60439-7412

Phone

(630) 257-9132

Fax

(630) 257-9136

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Edward Michalowsli, DC

Title

President

Phone

(630) 257-9132

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Adam Bezanis, DC

  • Chiropractor
  • Lyons, IL
  • NPI 1942795414
  Medicare reassignment NPD

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1396927588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15337 E 127TH ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604397412",
            "telephone_number": "630-257-9132",
            "fax_number": "630-257-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15337 E 127TH ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604397412",
            "telephone_number": "630-257-9132",
            "fax_number": "630-257-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMONT CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "MICHALOWSLI",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-257-9132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1682603",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Wade LCSW PLLC
• Kacey Elizabeth Lazzarotto, OTR/L
• George Lee, M.D.
• Stephanie T. Lemberis, D.M.D.
• Lemont Bromberek Combined School District 113a
• Lemont Dental Clinic
• Lemont Family Dental LTD
• Lemont Family Dental, LTD
• Lemont Family Health Center, LTD.
• Lemont Fire Protection District

• Chiropractor in Lemont, IL
• Providers in Lemont, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.