Individual provider Active NPI

Elizabeth Erin Engel, D.C.

  • Chiropractor
  • Inverness, IL
National Provider Identifier
1407890627
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010313 Issued in IL
Practice address
1626 W Colonial Pkwy
Inverness, IL 60067-4793
Phone
(847) 202-8400
Fax
(847) 202-8420
NPI assigned
Jun 16, 2006
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010313 IL Primary

Addresses

Primary practice location

1626 W Colonial Pkwy
Inverness, IL 60067-4793

Mailing address

1626 W Colonial Pkwy
Inverness, IL 60067-4793
Phone (847) 202-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000282 IL Practitioner - Chiropractic 7719918986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1626 W Colonial Pkwy
Inverness, IL 60067-4793
Phone (847) 202-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010313ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Chiropractic and Wellness Center, S.C. Chiropractor CurrentSince Aug 12, 2009 Accepting new patients
Peak Orthopaedic & Sports Caresc Past Accepting new patients

Locations

1626 W Colonial Pkwy
Inverness, IL 60067
Phone (847) 202-8400

1630 W Colonial Pkwy
Inverness, IL 60067
Phone (847) 202-8400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1407890627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 W COLONIAL PKWY",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600674793",
            "telephone_number": "847-202-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 W COLONIAL PKWY",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600674793",
            "telephone_number": "847-202-8400",
            "fax_number": "847-202-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "ELIZABETH",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.