Bennett Chiropractic Care SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BENNETT CHIROPRACTIC CARE SC

Practice address

739 N Milwaukee Ave
Libertyville, IL 60048-1913

Phone

(847) 680-9191

Fax

(847) 680-9193

NPI assigned

Apr 16, 2021

Last updated

Apr 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Bennett, DCNPI 1922122142

Title

Owner, DC

Phone

(847) 680-9191

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Thomas W Bennett, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1922122142
  Medicare reassignment Care Compare group NPD Authorized official
• David Tokicz, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1184506289
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1487235891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 N MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481913",
            "telephone_number": "847-680-9191",
            "fax_number": "847-680-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 N MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481913",
            "telephone_number": "847-680-9191",
            "fax_number": "847-680-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT CHIROPRACTIC CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER, DC",
        "authorized_official_telephone_number": "847-680-9191",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klaudia Bednarczyk, MS, CCC-SLP
• Kelly J Behrends, PSYD
• Evelyn Bello
• Krysty Lynne Benhart-Martel, D.C.
• Benjamin Green Field Residence
• Thomas W Bennett, DC
• Anna Benton, PHD
• Elizabeth Ann Benvenuto, MS
• Mussie Beraki, M.D.
• Breah Berg

• Chiropractor in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.