Active NPI
Agape Chiropractic Center PC
- Chiropractor
- Lake Villa, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038006057
- Legal business name
- AGAPE CHIROPRACTIC CENTER PC
- Practice address
- 118 S Milwaukee Ave
Lake Villa, IL 60046 - Phone
- (847) 356-9696
- Fax
- (847) 356-9983
- NPI assigned
- Apr 30, 2007
- Last updated
- May 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathleen L Hufnagle, D.C.
- Title
- Chiropractic Physician Owner
- Phone
- (847) 356-9696
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038006057 | IL | Primary |
Addresses
Primary practice location
118 S Milwaukee Ave
Lake Villa, IL 60046
Mailing address
118 S Milwaukee Ave
Lake Villa, IL 60046
Phone (847) 356-9696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4915291 | Other | BCBS |
National Provider Directory
National Provider DirectoryLocations
118 S Milwaukee Ave
Lake Villa, IL 60046
Phone (847) 356-9696
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Lake Villa, IL
- NPI 1457404261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431043200000",
"number": "1407076649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 S MILWAUKEE AVE",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "60046",
"telephone_number": "847-356-9696",
"fax_number": "847-356-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S MILWAUKEE AVE",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "60046",
"telephone_number": "847-356-9696",
"fax_number": "847-356-9983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE CHIROPRACTIC CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-30",
"last_updated": "2015-05-08",
"status": "A",
"authorized_official_last_name": "HUFNAGLE",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN OWNER",
"authorized_official_telephone_number": "847-356-9696",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038006057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4915291",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Villa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.