Organization Active NPI

Camp Chirotherapy LLC

  • Chiropractor
  • Algonquin, IL
National Provider Identifier
1548819527
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAMP CHIROTHERAPY LLC
Practice address
3931 W Algonquin Rd
Algonquin, IL 60102-9700
Phone
(224) 241-8156
Fax
(224) 333-0876
NPI assigned
Sep 11, 2019
Last updated
Jan 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Dr. Amanda E Gerke, D.C.NPI 1952957433
Title
Chiropractor
Phone
(414) 469-4193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

3931 W Algonquin Rd
Algonquin, IL 60102-9700

Mailing address

2927 Impressions Dr
Lake in the Hills, IL 60156-6700

National Provider Directory

National Provider Directory

Locations

3927 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 325-4119

3931 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 241-8156

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1548819527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 IMPRESSIONS DR",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 W ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029700",
            "telephone_number": "224-241-8156",
            "fax_number": "224-333-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP CHIROTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "GERKE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "414-469-4193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.