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Organization Active NPI

Chiropractic Health Centre of Lake County

  • Chiropractor
  • Libertyville, IL
National Provider Identifier
1427352210
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011023 Issued in IL
Legal business name
CHIROPRACTIC HEALTH CENTRE OF LAKE COUNTY
Practice address
1113 S Milwaukee Ave
Suite 101
Libertyville, IL 60048-3758
Phone
(847) 680-9500
Fax
(847) 680-7975
NPI assigned
Jan 7, 2011
Last updated
Mar 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Dr. Annette Rae Giovannetti, D.C.
Title
VP
Phone
(630) 605-0583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011023 IL Primary

Addresses

Primary practice location

1113 S Milwaukee Ave
Suite 101
Libertyville, IL 60048-3758

Mailing address

1113 S. Milwaukee Avenue
Suite 101
Libertyville, IL 60048-3758
Phone (847) 680-9500

National Provider Directory

National Provider Directory

Locations

1113 S Milwaukee Ave
Ste 101
Libertyville, IL 60048
Phone (847) 680-9500

Practitioners & affiliated clinicians

Practitioners 7

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": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1427352210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 S. MILWAUKEE AVENUE",
            "address_2": "SUITE 101",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483758",
            "telephone_number": "847-680-9500",
            "fax_number": "847-680-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S MILWAUKEE AVE",
            "address_2": "SUITE 101",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483758",
            "telephone_number": "847-680-9500",
            "fax_number": "847-680-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CENTRE OF LAKE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "GIOVANNETTI",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "630-605-0583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.