Organization Active NPI

Nancy Elliott DC PC

  • Chiropractor
  • Park Ridge, IL
National Provider Identifier
1457565574
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038004676 Issued in IL
Legal business name
NANCY ELLIOTT DC PC
Practice address
2104 Oakton St
Park Ridge, IL 60068-1820
Phone
(847) 692-6956
Fax
(847) 692-9651
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Nancy Elliott, D.C.
Title
Owner
Phone
(847) 692-6956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038004676 IL Primary

Addresses

Primary practice location

2104 Oakton St
Park Ridge, IL 60068-1820

Mailing address

2104 Oakton St
Park Ridge, IL 60068-1820
Phone (847) 692-6956

Other identifiers 2

IdentifierTypeStateIssuer
038004676OtherILLICENSE
1073588422OtherILNPI-INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

2104 W Oakton St
Park Ridge, IL 60068
Phone (847) 692-6956

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1457565574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 OAKTON ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681820",
            "telephone_number": "847-692-6956",
            "fax_number": "847-692-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 OAKTON ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681820",
            "telephone_number": "847-692-6956",
            "fax_number": "847-692-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY ELLIOTT DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-692-6956",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "038004676",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDIVIDUAL",
            "identifier": "1073588422",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.