NPIMap

Organization Active NPI

Villa Park Chiropractic Center, LTD.

  • Chiropractor
  • Villa Park, IL
National Provider Identifier
1487623302
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VILLA PARK CHIROPRACTIC CENTER, LTD.
Practice address
411 W Saint Charles Rd
Villa Park, IL 60181-2432
Phone
(630) 691-1234
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mary Luther, DC
Title
Owner
Phone
(630) 691-1234

Specialties & licenses 1

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

Addresses

Primary practice location

411 W Saint Charles Rd
Villa Park, IL 60181-2432

Mailing address

411 W Saint Charles Rd
Villa Park, IL 60181-2432

Other identifiers 1

IdentifierTypeStateIssuer
02232410OtherILBCBSIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1487623302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W SAINT CHARLES RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W SAINT CHARLES RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812432",
            "telephone_number": "630-691-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA PARK CHIROPRACTIC CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-691-1234",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "02232410",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.