Organization Active NPI

Agape Chiropractic Center PC

  • Chiropractor
  • Lake Villa, IL
National Provider Identifier
1407076649
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006057 Issued in IL
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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.NPI 1457404261
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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4915291OtherBCBS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.