Active NPI
Comprehensive Chiropractic LLC
- Chiropractor
- Buffalo Grove, IL
National Provider Identifier
1629096078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- COMPREHENSIVE CHIROPRACTIC LLC
- Practice address
- 1411 McHenry Rd
Suite 225
Buffalo Grove, IL 60089-1385 - Phone
- (874) 727-6278
- Fax
- (847) 276-2785
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irene D Wallace, D.C.
- Title
- Doctor of Chiropractic
- Phone
- (847) 276-2785
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
1411 McHenry Rd
Suite 225
Buffalo Grove, IL 60089-1385
Mailing address
1411 McHenry Rd
Suite 225
Buffalo Grove, IL 60089-1385
Phone (874) 727-6278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Buffalo Grove, IL
- NPI 1639122658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629096078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 MCHENRY RD",
"address_2": "SUITE 225",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891385",
"telephone_number": "874-727-6278",
"fax_number": "847-276-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 MCHENRY RD",
"address_2": "SUITE 225",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891385",
"telephone_number": "874-727-6278",
"fax_number": "847-276-2785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "IRENE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "847-276-2785",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.