Organization Active NPI

Back Pain Institute of Illinois LTD

  • Chiropractor
  • Elgin, IL
National Provider Identifier
1487724621
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACK PAIN INSTITUTE OF ILLINOIS LTD
Practice address
1750 Grandstand Place
Elgin, IL 60142
Phone
(847) 888-2165
Fax
(847) 888-2965
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Gary G Boyd, DC
Title
Owner
Phone
(847) 888-2165

Specialties & licenses 1

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

Addresses

Primary practice location

1750 Grandstand Place
Elgin, IL 60142

Mailing address

40 N Airlite St
Suite 4
Elgin, IL 60123-4965
Phone (847) 888-2165

National Provider Directory

National Provider Directory

Locations

40 N Airlite St
Ste 4
Elgin, IL 60123
Phone (847) 628-9977

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1487724621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N AIRLITE ST",
            "address_2": "SUITE 4",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234965",
            "telephone_number": "847-888-2165",
            "fax_number": "847-888-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 GRANDSTAND PLACE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60142",
            "telephone_number": "847-888-2165",
            "fax_number": "847-888-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK PAIN INSTITUTE OF ILLINOIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-888-2165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.