Active NPI
Nancy Elliott DC PC
- Chiropractor
- Park Ridge, IL
National Provider Identifier
1457565574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038004676
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038004676 | Other | IL | LICENSE |
| 1073588422 | Other | IL | NPI-INDIVIDUAL |
National Provider Directory
National Provider DirectoryLocations
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.