NPIMap

Organization Active NPI

TLC Chiropractic, SC

  • Chiropractor
  • Lake in the Hills, IL
National Provider Identifier
1568097442
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TLC CHIROPRACTIC, SC
Practice address
14 Miller Rd
Lake in the Hills, IL 60156-1008
Phone
(224) 678-7334
Fax
(224) 678-7307
NPI assigned
Mar 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Jennifer Pishotta, DCNPI 1134633621
Title
President/Chiropractor
Phone
(224) 678-7334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

14 Miller Rd
Lake in the Hills, IL 60156-1008

Mailing address

14 Miller Rd
Lake in the Hills, IL 60156-1008
Phone (224) 678-7334

Other identifiers 2

IdentifierTypeStateIssuer
038013152OtherILLICENSED CHIROPRACTIC PHYSICIAN
042620798OtherILREGISTERED MEDICAL CORPORATION

Other names 1

  • TLC Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL ChiroTouch Direct

National Provider Directory

National Provider Directory

Locations

14 Miller Rd
Lake in the Hills, IL 60156
Phone (224) 678-7334

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1568097442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MILLER RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561008",
            "telephone_number": "224-678-7334",
            "fax_number": "224-678-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MILLER RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561008",
            "telephone_number": "224-678-7334",
            "fax_number": "224-678-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC CHIROPRACTIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "PISHOTTA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "224-678-7334",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CHIROPRACTIC PHYSICIAN",
            "identifier": "038013152",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED MEDICAL CORPORATION",
            "identifier": "042620798",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14 Miller Rd",
            "city": "Lake IN The Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601561008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TLC Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.