NPIMap

Organization Active NPI

Functional Health Chiropractic, LLC

  • Chiropractor
  • Schaumburg, IL
National Provider Identifier
1457633125
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011795 Issued in IL
Legal business name
FUNCTIONAL HEALTH CHIROPRACTIC, LLC
Practice address
957 N Plum Grove Rd
Suite a
Schaumburg, IL 60173-5194
Phone
(847) 605-8835
Fax
(847) 565-4199
NPI assigned
Sep 19, 2011
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dana M Hollandsworth, D.C.
Title
Co-Owner/ Doctor of Chiropractic
Phone
(847) 605-8835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011795 IL Primary

Addresses

Primary practice location

957 N Plum Grove Rd
Suite a
Schaumburg, IL 60173-5194

Mailing address

957 N Plum Grove Rd
Suite a
Schaumburg, IL 60173-5194
Phone (847) 605-8835

National Provider Directory

National Provider Directory

Locations

957 N Plum Grove Rd
Ste A
Schaumburg, IL 60173
Phone (847) 605-8835

Practitioners & affiliated clinicians

Practitioners 2

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": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1457633125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 N PLUM GROVE RD",
            "address_2": "SUITE A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735194",
            "telephone_number": "847-605-8835",
            "fax_number": "847-565-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 N PLUM GROVE RD",
            "address_2": "SUITE A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735194",
            "telephone_number": "847-605-8835",
            "fax_number": "847-565-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "HOLLANDSWORTH",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER/ DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "847-605-8835",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.