Liberty Chiropractic LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009556 Issued in IL

Legal business name

LIBERTY CHIROPRACTIC LTD

Practice address

1135 Oak St
North Aurora, IL 60542-2060

Phone

(630) 907-8501

Fax

(630) 907-8502

NPI assigned

Jul 24, 2008

Last updated

Dec 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Gugliotta, D.C.

Title

V.P.

Phone

(630) 907-8501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1578728028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 OAK ST",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605422060",
            "telephone_number": "630-907-8501",
            "fax_number": "630-907-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 OAK ST",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605422060",
            "telephone_number": "630-907-8501",
            "fax_number": "630-907-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "GUGLIOTTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "630-907-8501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in North Aurora, IL
• Providers in North Aurora, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.