Edwin Paul Patrick, DC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

038-003465 Issued in IL

Practice address

750 Fletcher Dr
Suite 304
Elgin, IL 60123-4756

Phone

(847) 888-3131

Fax

(847) 888-3359

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1518946391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DR",
            "address_2": "SUITE 304",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234703",
            "telephone_number": "847-888-3131",
            "fax_number": "847-888-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DR",
            "address_2": "SUITE 304",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234756",
            "telephone_number": "847-888-3131",
            "fax_number": "847-888-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "EDWIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038-003465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vermily Patelona
• Gianna Patenaude
• Patrick Chiropractic Services P.C.
• Patrick Health and Wellness Inc.
• Dean Thomas Patrick, DC
• Stephen Patterson, DMD
• Latonya Rochelle Patton, LPN
• Taylor Patz
• Paul L. Engen DDS PC
• Dana Marie Pauley

• Orthopedic Chiropractor in Elgin, IL
• Providers in Elgin, IL by specialty
• Orthopedic Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.