NPIMap

Organization Active NPI

Vernon Hills Chiropractic & Rehabilitation Center SC

  • Chiropractor
  • Vernon Hills, IL
National Provider Identifier
1396929980
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03009350 Issued in IL
Legal business name
VERNON HILLS CHIROPRACTIC & REHABILITATION CENTER SC
Practice address
10 W Phillip Rd
Suite 114
Vernon Hills, IL 60061-1799
Phone
(847) 573-1300
Fax
(847) 247-1333
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Mr. Derek Lewis Talbot, D.C.
Title
President
Phone
(847) 573-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 03009350 IL Primary

Addresses

Primary practice location

10 W Phillip Rd
Suite 114
Vernon Hills, IL 60061-1799

Mailing address

10 W Phillip Rd
Suite 114
Vernon Hills, IL 60061-1799
Phone (847) 573-1300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1396929980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD",
            "address_2": "SUITE 114",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611799",
            "telephone_number": "847-573-1300",
            "fax_number": "847-247-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD",
            "address_2": "SUITE 114",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611799",
            "telephone_number": "847-573-1300",
            "fax_number": "847-247-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON HILLS CHIROPRACTIC & REHABILITATION CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "TALBOT",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-573-1300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "03009350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.