Combined Care Center P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

038006894 Issued in IL

Legal business name

COMBINED CARE CENTER P.C.

Practice address

283 Peterson Rd
Libertyville, IL 60048-1005

Phone

(847) 367-1770

Fax

(847) 367-1774

NPI assigned

Apr 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Dan M Young, D.C.NPI 1730155136

Title

President

Phone

(847) 367-1770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dan Michael Young, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1730155136
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1487073508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 PETERSON RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481005",
            "telephone_number": "847-367-1770",
            "fax_number": "847-367-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 PETERSON RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481005",
            "telephone_number": "847-367-1770",
            "fax_number": "847-367-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMBINED CARE CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-367-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "038006894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Lynn Coleman, M.D.
• Ashlyn Collins
• Melissa Ann Collura
• Charles S Colodny, MD
• Carrie Ruth Colvin, LCPC
• Condell Medical Center
• Condell Medical Center Home Health Care
• Condell Medical Center Hospice
• Condell Pathology Group, LTD
• Connect Hearing, Inc.

• Medical Specialty Clinic/Center in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.