NPIMap

Organization Active NPI

Chiropractic Centre of Highland Park, Inc

  • Chiropractor
  • Highland Park, IL
National Provider Identifier
1629155114
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC CENTRE OF HIGHLAND PARK, INC
Practice address
210 Skokie Valley Rd
Suite 7
Highland Park, IL 60035-4464
Phone
(847) 831-5252
Fax
(847) 831-5272
NPI assigned
Nov 1, 2006
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Dr. Thomas Scott McNulty, D.C.NPI 1245315506
Title
President
Phone
(847) 831-5252

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

210 Skokie Valley Rd
Suite 7
Highland Park, IL 60035-4464

Mailing address

210 Skokie Valley Rd
Suite 7
Highland Park, IL 60035-4464
Phone (847) 831-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060314000743 IL Part B Supplier - Clinic/Group Practice 4486661568 Receives reassigned benefits from 1 practitioner
Practice locations: Highland Park, IL

National Provider Directory

National Provider Directory

Locations

210 Skokie Valley Rd
Ste 7
Highland Park, IL 60035
Phone (847) 266-7246

Practitioners & affiliated clinicians

Practitioners 5

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1629155114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SKOKIE VALLEY RD",
            "address_2": "SUITE 7",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354464",
            "telephone_number": "847-831-5252",
            "fax_number": "847-831-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SKOKIE VALLEY RD",
            "address_2": "SUITE 7",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354464",
            "telephone_number": "847-831-5252",
            "fax_number": "847-831-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CENTRE OF HIGHLAND PARK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-831-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.

Verify at the official NPI Registry.