Organization Active NPI

North Suburban Chiropractic Clinic LTD

  • Chiropractor
  • Buffalo Grove, IL
National Provider Identifier
1447378880
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009710 Issued in IL
Legal business name
NORTH SUBURBAN CHIROPRACTIC CLINIC LTD
Practice address
333 West Dundee Road
Suite 101
Buffalo Grove, IL 60089-3545
Phone
(847) 243-0355
Fax
(847) 243-0356
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Igor Sher, DC
Title
Chiropractor
Phone
(847) 243-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038009710 IL Primary

Addresses

Primary practice location

333 West Dundee Road
Suite 101
Buffalo Grove, IL 60089-3545

Mailing address

333 West Dundee Road
Suite 101
Buffalo Grove, IL 60089-3545
Phone (847) 243-0355

Other identifiers 2

IdentifierTypeStateIssuer
038009710MedicaidIL
01633770OtherILBCBS

National Provider Directory

National Provider Directory

Locations

333 W Dundee Rd
#101
Buffalo Grove, IL 60089
Phone (847) 243-0355

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1447378880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WEST DUNDEE ROAD",
            "address_2": "SUITE 101",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-243-0355",
            "fax_number": "847-243-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WEST DUNDEE ROAD",
            "address_2": "SUITE 101",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-243-0355",
            "fax_number": "847-243-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN CHIROPRACTIC CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "SHER",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "847-243-0355",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038009710",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01633770",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.